Oral and Palmoplantar Findings in Patients With COVID-19

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• In this report from a field hospital in Spain during the peak of the pandemic, nearly half (45.7%) of the 666 COVID-19 patients had mucocutaneous findings, higher than reported in previous publications. About one-fourth had oral findings, most commonly transient lingual papillitis (11.5%), aphthous stomatitis (6.9%), glossitis with lateral indentations (6.6%), and glossitis with patchy loss of papillae (3·9%). Almost 40% experienced palmoplantar involvement, most commonly diffuse desquamation favoring weight-bearing sites (25.3%) or brown acral macules (15.1%).

• This observational analysis reports several dermatologic findings not previously reported to be associated with COVID-19, including glossitis, papillitis, and diffuse asymptomatic palmoplantar desquamation. This study also demonstrates a high prevalence of oral and palmoplantar findings in COVID-19 patients, and interestingly, skin rash was relatively uncommon in comparison (11.6%).

– Caroline K. Crabtree, MD

Abstract 

Coronavirus disease 2019 (COVID‐19) has been associated with several cutaneous manifestations.1-3 A temporary field hospital was implemented during the pandemic peak in Madrid, Spain, to attend patients with COVID‐19 who had mild‐to‐moderate pneumonia. A team of dermatologists working as medical volunteers performed a cross‐sectional study between 10 and 25 April 2020 to evaluate cutaneous findings of such patients.

The British Journal of Dermatology

Prevalence of Mucocutaneous Manifestations in 666 Patients With COVID-19 in a Field Hospital in Spain: Oral and Palmoplantar Findings

Br J Dermatol 2020 Sep 24;[EPub Ahead of Print], A Nuno-Gonzalez, P Martin-Carrillo, K Magaletsky, MD Martin Rios, C Herranz Mañas, J Artigas Almazan, G García Casasola, E Perez Castro, A Gallego Arenas, A Mayor Ibarguren, M Feito Rodríguez, B Lozano Masdemont, M Beato, E Ruiz Bravo, P Oliver, MD Montero Vega, P Herranz Pinto 

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Benjamin Hidalgo-Matlock
Skin Care Physicians of Costa Rica

Clinica Victoria en San Pedro: 4000-1054
Momentum Escazu: 2101-9574

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