PMC7537980_01
The X-ray shows bilateral and extensive interstitial infiltrates
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PMC7537980_01_12948_2020_133_Fig1_HTML.jpg
Fig1
Here we report the case of 78-year old woman with several comorbidities (hypertension, obesity, unstable angina, type 2 diabetes) admitted to our hospital for respiratory insufficiency with fever requiring non-invasive ventilation and a diagnosis of COVID-19 lung infection with bacterial superinfection was formulated given the radiological evidence of a bilateral interstitial pneumonia, the positivity of nasopharyngeal swab for SARS-CoV-2 and (Fig. 1).
The violaceous rash extension with atypical targetoid elements (at day 3 from clinical onset) is depicted in a. b shows the complete resolution (after 6 weeks)
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Fig2
The rash presented in the course of 3 days a rapid extension with the involvement of the whole trunk and buttocks, reaching approximately 70% of the total body surface area, with the appearance of atypical targetoid lesions and the formation of blisters, with subsequent skin detachment (Figs. 2, 3 and 4). The patient was cared for by the wound care service of the hospital with topical therapy, a marked improvement in the skin conditions was observed progressively over a period of 6 weeks, until the complete resolution (Figs. 2 and 3).
The extensive skin detachment is showed in a (at day 5) and its favorable evolution at 6 weeks in (b)
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PMC7537980_01_12948_2020_133_Fig3_HTML.jpg
Fig3
The rash presented in the course of 3 days a rapid extension with the involvement of the whole trunk and buttocks, reaching approximately 70% of the total body surface area, with the appearance of atypical targetoid lesions and the formation of blisters, with subsequent skin detachment (Figs. 2, 3 and 4). The patient was cared for by the wound care service of the hospital with topical therapy, a marked improvement in the skin conditions was observed progressively over a period of 6 weeks, until the complete resolution (Figs. 2 and 3).
The figure shows the extensive disepithelialization with subcutaneous oozing and bleeding
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PMC7537980_01_12948_2020_133_Fig4_HTML.jpg
Fig4
The rash presented in the course of 3 days a rapid extension with the involvement of the whole trunk and buttocks, reaching approximately 70% of the total body surface area, with the appearance of atypical targetoid lesions and the formation of blisters, with subsequent skin detachment (Figs. 2, 3 and 4).