version 1.0 date: 15ht april 2020. reviewed by ... · reviewed by dermatologist raquel...

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Covid-19 SKIN DISEASES First Derm There are at present 8 skin diseases potentially linked to Coronavirus, As Follows: The patient complains of sudden red/ purple colorings on toes and fingers. They can be painful, a burning sensation or itching. The majority of First Derm users have been males between 20-40 year olds with no other symptoms. Leukocytoclastic vasculitis is an inflammation of the small blood vessels in the skin. The typical red spots that appear on the feet, ankles and lower legs may sometimes spread up to the thighs and even to the trunk. Caused by an infection or new medication. "Hives" is commonly caused by medication, infection, heat, cold, pressure on the skin or an external irritant. Local histamine inflammation with swelling and gives rise to itching or burning, raised, red skin lesions known as wheals. Tendency to move around and disappear within 24 hours only to appear again in other places. Petechiae or purpura, is a condition of red or purple discolored spots on the skin that do not fade on applying pressure. The spots are caused by bleeding underneath the skin. The cause of this can for instance be vasculitis amongst other causes. New medication, infection etc can also trigger this. Irritant hand dermatitis related to hand sanitizer use and frequent hand washing. Using fragrance-free soap to wash your hands is less irritating that hand sanitizer. After washing your hands apply a moisturizer each to hydrate and protect your hands. If it is not improving combine 1% hydrocortisone. Morbilliform rash is usually associated with a medication that triggers the rash. The eruption may resemble exanthema caused by viral and bacterial infections. Small like vesicles spread out over the skin, Similar appearance to Chickenpox. Non specific. This blotchy redness network-like appears of the thighs and legs. It usually does not change in appearance or hurt and the texture of the skin is not affected. on your thighs. This is also a condition causes the small blood vessels to swell. IS COVID-19 THE DIRECT CAUSE OF THESE RASHES? One Study in Lombardy Italy found that 20% Of Covid-19 patients had some kind of skin lesion or rash appear A Study on 181 people found that 31% had suffered from blood clot complications - this would support the hypothesis that AcraI lschemia is appear ing in Covid-19 patients Many patients have taken Antibiotics and Drugs that could have caused the reaction Some patients had been suffer ing Emotional Stress which is known to exacerbate underly ing conditions such as eczema, rosacea and atopic dermatitis The prolonged use of protective masks and gloves can exacer bate conditions such as Acne. Rosacea and Contact Dermati tis which has also been seen in medical staff who do not have the virus Medical Researchers in Guang zhou, China make clear that more research is needed but the virus could induce typical immune responses on the skin such as Dermatitis Version 1.0 Date: 15th April 2020 Reviewed by: Dermatologist name and Hospital CHILBLAINS (PERNIO, CHILL BURNS) LIVEDO RETICULARIS VASCULITIS MORBILLIFORM ERUPTION VESICULAR ERUPTION URTICARIA PETECHIAE HANDSANITIZER - DYSHITROTIC ECZEMA https://aedv.es/eI-estudio-covid-piel-reci be-miles-de-consultas sobre-maninfestaciones-cuta- neas-de-posibles-casos-de-covid-19/ AEDVES Lesiones cutáneas y COVID-19 NCBI https://pubmed.ncbi.nlm.nih.gov/16055009/ https://www.ncbi.nlm.nih.gov/research/coronavirus/publication/32294259 https://www.nc- bi.nIm.nih.gov/p- Covid-19 pandemic and the skin - https://pubmed.ncbi.nlm.nih.gov/32215952/ Cutaneous Manifestations in COVID-19 - A distinctive skin rash associated with Coronavirus Disease 2019 - Cutaneous Lesions Associated With Coronavirus - https://www.aad.org/member/practIce/coronavirus AAD.org Coronavirus Thrombosis Research https://www.thrombosisresearch.com/article/S0049-3848(20)30120-1/fulltext Thrombotic complications in critically ill ICU patients with COVID-19 Medical Journal https://www.medicaljournals.se/acta/content/html/10.2340/00015555-3490 Cutaneous Clinico-Pathological Findings in COVID-19-Positive Patients https://onlinelibrary.wiley.com/doi/abs/1O.1111/jdv.16515 Wiley Online Library Dermatologists and SARS‐CoV‐2 -

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Page 1: Version 1.0 Date: 15ht April 2020. Reviewed by ... · Reviewed by Dermatologist Raquel Molina-Martinez, Hospital del Vendrell, Barcelona, Spain. Title: oliver-rev-30May Created Date:

Covid-19 SKIN DISEASESFirst Derm

There are at present 8 skin diseases potentially linked to Coronavirus, As Follows:

The patient complains of sudden red/ purple colorings on toes and fingers. They can be painful, a burning sensation or itching. The majority of First Derm users have been males between 20-40 year olds with no other symptoms.

Leukocytoclastic vasculitis is an inflammation of the small blood vessels in the skin. The typical red spots that appear on the feet, ankles and lower legs may sometimes spread up to the thighs and even to the trunk. Caused by an infection or new medication.

"Hives" is commonly caused by medication, infection, heat, cold, pressure on the skin or an external irritant. Local histamine inflammation with swelling and gives rise to itching or burning, raised, red skin lesions known as wheals. Tendency to move around and disappear within 24 hours only to appear again in other places.

Petechiae or purpura, is a condition of red or purple discolored spots on the skin that do not fade on applying pressure. The spots are caused by bleeding underneath the skin. The cause of this can for instance be vasculitis amongst other causes. New medication, infection etc can also trigger this.

Irritant hand dermatitis related to hand sanitizer use and frequent hand washing. Using fragrance-free soap to wash your hands is less irritating that hand sanitizer. After washing your hands apply a moisturizer each to hydrate and protect your hands. If it is not improving combine 1% hydrocortisone.

Morbilliform rash is usually associated with a medication that triggers the rash. The eruption may resemble exanthema caused by viral and bacterial infections.

Small like vesicles spread out over the skin, Similar appearance to Chickenpox. Non specific.

This blotchy redness network-like appears of the thighs and legs. It usually does not change in appearance or hurt and the texture of the skin is not a�ected. on your thighs. This is also a condition causes the small blood vessels to swell.

IS COVID-19 THE DIRECT CAUSE OF THESE RASHES?

One Study in Lombardy Italyfound that 20% Of Covid-19patients had some kind of skinlesion or rash appear

A Study on 181 people foundthat 31% had su�ered fromblood clot complications - thiswould support the hypothesisthat AcraI lschemia is appearing in Covid-19 patients

Many patients have takenAntibiotics and Drugs thatcould have caused the reaction

Some patients had been su�ering Emotional Stress which isknown to exacerbate underlying conditions such as eczema,rosacea and atopic dermatitis

The prolonged use of protectivemasks and gloves can exacerbate conditions such as Acne.Rosacea and Contact Dermatitis which has also been seen inmedical sta� who do not havethe virus

Medical Researchers in Guangzhou, China make clear thatmore research is needed butthe virus could induce typicalimmune responses on the skinsuch as Dermatitis

Version 1.0 Date: 15th April 2020 Reviewed by: Dermatologist name and Hospital

CHILBLAINS (PERNIO, CHILL BURNS) LIVEDO RETICULARIS

VASCULITIS MORBILLIFORM ERUPTION VESICULAR ERUPTION

URTICARIA PETECHIAE HANDSANITIZER - DYSHITROTIC ECZEMA

https://aedv.es/eI-estudio-covid-piel-reci be-miles-de-consultassobre-maninfestaciones-cuta-neas-de-posibles-casos-de-covid-19/

AEDVESLesiones cutáneas y COVID-19

NCBI

https://pubmed.ncbi.nlm.nih.gov/16055009/https://www.ncbi.nlm.nih.gov/research/coronavirus/publication/32294259

https://www.nc-bi.nIm.nih.gov/p-Covid-19 pandemic and the skin -https://pubmed.ncbi.nlm.nih.gov/32215952/Cutaneous Manifestations in COVID-19 -A distinctive skin rash associated with Coronavirus Disease 2019 -Cutaneous Lesions Associated With Coronavirus -

https://www.aad.org/member/practIce/coronavirusAAD.orgCoronavirus

Thrombosis Researchhttps://www.thrombosisresearch.com/article/S0049-3848(20)30120-1/fulltextThrombotic complications in critically ill ICU patients with COVID-19

Medical Journalhttps://www.medicaljournals.se/acta/content/html/10.2340/00015555-3490Cutaneous Clinico-Pathological Findings in COVID-19-Positive Patients https://onlinelibrary.wiley.com/doi/abs/1O.1111/jdv.16515

Wiley Online LibraryDermatologists and SARS‐CoV‐2 -

Alexander Börve
Version 1.0 Date: 15ht April 2020. Reviewed by Dermatologist Raquel Molina-Martinez, Hospital del Vendrell, Barcelona, Spain