Huidafwijkingen bij covid-19

Een samenvatting van de literatuur
Stand van zaken
07-12-2020
Zekeriya Çiftçi, Julia M.K. Clabbers, Annemie F.S. Galimont-Collen en Antoni Gostyński

Cutaneous lesions in COVID-19 patients

  • Aside from the typical respiratory symptoms resulting from an infection with SARS-CoV-2, there are reports of cutaneous lesions in patients diagnosed with a SARS-CoV-2 infection.
  • There are reports of multiple groups of skin lesions presenting in different stages of this diagnosis.
  • The most common reported groups are chilblains, vesicular eruptions, morbilliform exanthems, acute urticaria and livedo.
  • It is unlikely that all these groups of skin lesions are distinctive of an infection with SARS-CoV-2.
  • Chilblains of new onset, however, could possibly be a distinctive symptom of a mild/asymptomatic infection with SARS-CoV-2.
  • It is recommended to consider an infection with SARS-CoV-2 in the differential diagnosis in patients presenting with these groups of skin lesions.
  • Consider testing for SARS-CoV-2 and consult the dermatologist if needed, especially in case of chilblains, to ensure histopathological evaluation of the skin lesions to increase knowledge of the underlying pathophysiology.
  • Conflict of interest and financial support: none declared.