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Reply to “COVID-19 can present with a rash and be mistaken for dengue”: Petechial rash in a patient with COVID-19 infection

Published:April 10, 2020DOI:https://doi.org/10.1016/j.jaad.2020.04.016
      To the Editor: We read with interest the article by Joob et al
      • Joob B.
      • Wiwanitkit V.
      COVID-19 can present with a rash and be mistaken for dengue.
      hypothesizing that COVID-19 infection might present with a skin rash and petechiae. During the COVID-19 outbreak in China, clinical studies did obviously not focus on the skin manifestations of COVID-19. However, it is likely they exist and are probably under-recognized because of the current lack of dermatology consultations in these patients. Recently, Recalcati et al
      • Recalcati S.
      Cutaneous manifestations in COVID-19: a first perspective.
      reported the cutaneous manifestations of COVID-19 infection in Italy and described 3 main patterns: erythematous rash, urticaria, and chickenpox-like lesions. However, these 2 published articles did not include clinical images due to safety concerns with transmission of the virus or to a low suspicion of association with it.
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      References

        • Joob B.
        • Wiwanitkit V.
        COVID-19 can present with a rash and be mistaken for dengue.
        J Am Acad Dermatol. 2020; 82: e177
        • Recalcati S.
        Cutaneous manifestations in COVID-19: a first perspective.
        J Eur Acad Dermatol Venereol. 2020; 34: e212-e213

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