Update: Cutaneous manifestations in COVID-19

Carsten Sauer Mikkelsen | Jun 2020 | COVID-19 | Dermatologi |

Carsten Sauer Mikkelsen
Specialist in Dermato-venereology,
Private Practice in Dermato-venereology,
Brønderslev, Denmark
& Research lab.
Department of Dermato-venereology,
Aalborg University Hospital,
Denmark

Kristian Bakke Arvesen
Specialist in Dermato-venereology,
Research lab.
Department of Dermato-venereology,
Aalborg University Hospital,
Denmark

Luit Penninga
Specialist in Surgery,
Ilulissat Hospital,
Avannaa Region,
Ilulissat, Greenland

Peter Bjerring
Specialist in Dermato-venereology,
Research lab.
Department of Dermato-venereology,
Aalborg University Hospital,
Denmark

Up to 20% of COVID-19 cases have shown skin manifestations. Therefore, in trying to detect and manage the disease earlier and more effectively, it is important to understand how COVID-19 can appear on the skin. In this COVID-19 perspective, 3 specialists in dermatology and 1 specialist in surgery report and review data from a number of new international studies describing all skin manifestations associated with COVID-19. The World Health Organization (WHO) has declared that Coronavirus disease 2019 (Covid-19) is a public health emergency of international concern as it continues to spread worldwide. The Center for Disease Control (CDC) website describes fever, cough, and shortness of breath as the primary symptoms of the disease but last time we checked it does not describe any cutaneous manifestations of the illness. Until recently, the skin findings reported in association with Corona COVID-19 remained sparse, non-specific and devoid of any prognostic significance.1,2 But new case reports and reviews published from all over the world describing cutaneous manifestations associated with Corona COVID-19 keep coming. Skin manifestations have now been reported in up to 20% of COVID-19 patients.1 Understanding how COVID-19 might present on the skin may help practitioners and patients  recognise and manage the disease earlier and more effectively. In the Nordic countries we have tried to collect and exchange informations and understanding of the Corona COVID-19 virus in many different ways including “Hudlakarforum“. Virus induced in the initial phase and late manifestations A group of dermatologists from Lecco in Italy collected data from 88 patients with COVID-19. Eighteen patients (20.4%) developed cutaneous manifestations. Eight patients developed cutaneous involvement at the onset, 10 patients only later after hospitalization. The cutaneous manifestations seen were erythematous rash (14 patients), widespread urticaria (3 patients), and chickenpox like vesicles (1 patient). The skin on the trunk was the main...