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  1. Home /
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  3. Vol 52 No 1 (2021) /
  4. Case Report

Pityriasis rubra pilaris post-infection due COVID-19: case report

  • Abstract
  • Keywords
  • Author Biographies
  • References

Abstract

Case description: 32-month-old boy, IgG positive for SARS-CoV-2, presented to the emergency department with dermatologic lesions.

Clinical findings: Four days before admission, he presented skin eruptions with redness and pruritus on hands and feet. Generalized papular erythema was evidenced, upper extremities with diffuse erythematosquamous plaques, palmoplantar keratoderma, so he was evaluated by a dermatologist who diagnosed pityriasis rubra pilaris.

Treatment and outcome: rehydrating cream, cetirizine 0.5 mg/kg/day every two days, and prednisolone 2 mg/kg/day in the morning. He was discharged after 14 days, the patient presented clinical improvement, but the erythematous lesion persisted on the trunk and extremities. In the evaluation, after three months, the patient did not show the described lesions, evidencing an improvement and clinical resolution of the dermatological problems.

Clinical relevance: We report a patient with pityriasis rubra piloris associated with a post-infection by SARS-CoV-2 that had not been described before.

Authors

  • Franklin R Aguilar-Gamboa Laboratorio de inmunología y virología, dirección de investigación, Hospital Regional Lambayeque. Chiclayo, Perú. https://orcid.org/0000-0003-1943-5613
  • Dennis Cubas-Alarcon Laboratorio de microbiología, servicio de laboratorio clínico, Hospital Regional Docente Belén de Lambayeque. Perú. https://orcid.org/0000-0002-6086-4658
  • Miguel Villegas-Chiroque Servicio de infectología, Hospital Regional Lambayeque. Chiclayo, Perú. https://orcid.org/0000-0002-8090-8224
  • Virgilio E Failoc-Rojas Universidad San Ignacio de Loyola, Lima, Perú, Peru https://orcid.org/0000-0003-2992-9342

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Keywords

  • SARS-CoV-2
  • COVID-19
  • Pityriasis rubra pilaris
  • Dermatology
  • Exanthema
  • Urticaria
  • Pruritus
  • Eczema
  • Erythema Multiforme
  • Keratoderma, Palmoplantar

Author Biographies


, Laboratorio de inmunología y virología, dirección de investigación, Hospital Regional Lambayeque. Chiclayo, Perú.

orcid_id14.png https://orcid.org/0000-0003-1943-5613


, Laboratorio de microbiología, servicio de laboratorio clínico, Hospital Regional Docente Belén de Lambayeque. Perú.

orcid_id14.png https://orcid.org/0000-0002-6086-4658


, Servicio de infectología, Hospital Regional Lambayeque. Chiclayo, Perú.

orcid_id14.png https://orcid.org/0000-0002-8090-8224


, Universidad San Ignacio de Loyola, Lima, Perú, Peru

orcid_id14.png https://orcid.org/0000-0003-2992-9342

References

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Marazuela M, Giustina A, Puig-Domingo M. Endocrine and metabolic aspects of the COVID-19 pandemic. Reviews in endocrine & metabolic disorders. 2020;21(4):495-507. https://doi.org/10.1007/s11154-020-09569-2

Pirzada A, Mokhtar AT, Moeller AD. COVID-19 and Myocarditis: What Do We Know So Far? CJC open. 2020;2(4):278-85. https://doi.org/10.1016/j.cjco.2020.05.005

Carfì A, Bernabei R, Landi F. Persistent Symptoms in Patients After Acute COVID-19. Jama. 2020;324(6):603-5. https://doi.org/10.1001/jama.2020.12603

Darlenski R, Tsankov N. COVID-19 pandemic and the skin: what should dermatologists know? Clinics in dermatology. 2020;38(6):785-7. https://doi.org/10.1016/j.clindermatol.2020.03.012

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Marzano AV, Genovese G, Fabbrocini G, Pigatto P, Monfrecola G, Piraccini BM, et al. Varicella-like exanthem as a specific COVID-19-associated skin manifestation: Multicenter case series of 22 patients. Journal of the American Academy of Dermatology. 2020;83(1):280-5. https://doi.org/10.1016/j.jaad.2020.04.044

Mancilla-Gudiel PM, Arenas R. Pitiriasis rubra pilar: una revisión. Dermatología Cosmética, Médica y Quirúrgica. 2020;18(1):53-61.

Palencia AB, Ramos TIV. Pitiriasis rubra pilaris: aspectos epidemiológicos y clínicos de 44 casos. Dermatología Revista Mexicana. 2008;52(4):153-9.

Jimenez-Cauhe J, Ortega-Quijano D, Carretero-Barrio I, Suarez-Valle A, Saceda-Corralo D, Moreno-Garcia Del Real C, et al. Erythema multiforme-like eruption in patients with COVID-19 infection: clinical and histological findings. Clinical and experimental dermatology. 2020;45(7):892-5. https://doi.org/10.1111/ced.14281

Carvajal C, Acosta A, Álvarez M. Pitiriasis rubra pilaris atípica en pediatría. A propósito de un caso. Archivos de Pediatría del Uruguay. 2017;88(5):279-83.

Ferrándiz-Pulido C, Bartralot R, Bassas P, Bodet D, Repiso T, Aparicio G, et al. Pitiriasis rubra pilaris aguda postinfecciosa: una dermatosis mediada por superantígenos. Actas Dermo-Sifiliográficas. 2009;100(8):706-9.https://doi.org/10.1016/S0001-7310(09)72284-7

Roenneberg S, Biedermann T. Pityriasis rubra pilaris: algorithms for diagnosis and treatment. Journal of the European Academy of Dermatology and Venereology : JEADV. 2018;32(6):889-98. https://doi.org/10.1111/jdv.14761

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Williams A, George A, Thomas EA, Koshy JM. Pityriasis rubra pilaris type 6: A case report in an AIDS patient. Indian journal of sexually transmitted diseases and AIDS. 2020;41(1):100-1. https://doi.org/10.4103/ijstd.IJSTD_120_15

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Published
2021-03-19
Submitted
2020-10-10
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How to Cite
Aguilar-Gamboa, F. R., Cubas-Alarcon, D., Villegas-Chiroque, M., & Failoc-Rojas, V. (2021). Pityriasis rubra pilaris post-infection due COVID-19: case report. Colombia Médica, 52(1), e7014577. https://doi.org/10.25100/cm.v52i1.4577
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Vol 52 No 1 (2021)
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