Reply to: “Various forms of skin rash in COVID-19: Petechial rash in a patient with COVID-19 infection”
Authors: Beuy Joob, Viroj Wiwanitkit
Journal: Journal of the American Academy of Dermatology (2020)

To the Editor: We appreciate the additional information from Jimenez-Cauhe et al1Jimenez-Cauhe J. Ortega-Quijano D. Prieto-Barrios M. Moreno-Arrones O.M. Fernandez-Nieto D. Reply to "COVID-19 can present with a rash and be mistaken for Dengue": petechial rash in a patient with COVID-19 infection.J Am Acad Dermatol. 2020; 83: e141-e142Abstract Full Text Full Text PDF Scopus (83) Google Scholar on our report on a skin rash in a patient with COVID-19.2Joob B. Wiwanitkit V. COVID-19 can present with a rash and be mistaken for dengue.J Am Acad Dermatol. 2020; 82: e177Abstract Full Text Full Text PDF PubMed Scopus (337) Google Scholar Jimenez-Cauhe et al1Jimenez-Cauhe J. Ortega-Quijano D. Prieto-Barrios M. Moreno-Arrones O.M. Fernandez-Nieto D. Reply to "COVID-19 can present with a rash and be mistaken for Dengue": petechial rash in a patient with COVID-19 infection.J Am Acad Dermatol. 2020; 83: e141-e142Abstract Full Text Full Text PDF Scopus (83) Google Scholar showed a clinical picture of a skin rash at the axilla of a patient. As a new emerging virus infection, the dermatologic presentation is an interesting clinical feature. The skin rash in our previous publication that looked like the skin rash in dengue copresented with thrombocytopenia in a patient with COVID-19.2Joob B. Wiwanitkit V. COVID-19 can present with a rash and be mistaken for dengue.J Am Acad Dermatol. 2020; 82: e177Abstract Full Text Full Text PDF PubMed Scopus (337) Google Scholar Nevertheless, there is also the possibility that there might be other forms of COVID-19 skin rashes. In a previous report on a classical coronavirus infection, the rash appeared to be recurrent; "target-like purpuric plaques" was reported as another clinical presentation.3Chesser H. Chambliss J.M. Zwemer E. Acute hemorrhagic edema of infancy after coronavirus infection with recurrent rash.Case Rep Pediatr. 2017; 2017: 5637503PubMed Google Scholar In the present clinical case by Jimenez-Cauhe et al,1Jimenez-Cauhe J. Ortega-Quijano D. Prieto-Barrios M. Moreno-Arrones O.M. Fernandez-Nieto D. Reply to "COVID-19 can present with a rash and be mistaken for Dengue": petechial rash in a patient with COVID-19 infection.J Am Acad Dermatol. 2020; 83: e141-e142Abstract Full Text Full Text PDF Scopus (83) Google Scholar the rash might be a coincidence or an actual COVID-19–induced skin rash. Whether the lesion described by Jimenez- Cauhe et al1Jimenez-Cauhe J. Ortega-Quijano D. Prieto-Barrios M. Moreno-Arrones O.M. Fernandez-Nieto D. Reply to "COVID-19 can present with a rash and be mistaken for Dengue": petechial rash in a patient with COVID-19 infection.J Am Acad Dermatol. 2020; 83: e141-e142Abstract Full Text Full Text PDF Scopus (83) Google Scholar is related to the pathophysiologic process of COVID-19 or not should be further studied. Reply to "COVID-19 can present with a rash and be mistaken for dengue": Petechial rash in a patient with COVID-19 infectionJournal of the American Academy of DermatologyVol. 83Issue 2PreviewTo the Editor: We read with interest the article by Joob et al1 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 al2 reported the cutaneous manifestations of COVID-19 infection in Italy and described 3 main patterns: erythematous rash, urticaria, and chickenpox-like lesions. Full-Text PDF