Henoch-Schoenlein Purpura Following Severe Acute Respiratory Syndrome Coronavirus-2 Infection: A Case Report

AuthorSaeed Soleiman-Meigoonien
AuthorRamin Yaghmayeeen
AuthorRamin Hamidi-Farahanien
AuthorMousa Ahmadien
AuthorAllahyar Taherien
AuthorAli Asgarien
AuthorAzam Soleimani Najafabadien
OrcidSaeed Soleiman-Meigooni [0000-0001-5641-7380]en
OrcidRamin Hamidi-Farahani [0000-0002-3213-0948]en
OrcidAli Asgari [0000-0002-3047-0412]en
Issued Date2021-11-30en
AbstractIntroduction: As the novel coronavirus pandemic continues to affect people worldwide, immune-mediated inflammatory syndromes related to this virus have been reported. SARS Coronavirus-2 infection disease (COVID-19) may accompany various cutaneous symptoms, such as viral exanthems or wheels. These symptoms may occur at the early course of the disease or after that. Cutaneous symptoms of COVID-19 usually have a favorable outcome. Case Presentation: We presented a rare case of inpatient COVID-19 pneumonia, who developed a purpuric rash, abdominal pain, and hematuria. His dermal histopathological study revealed small-vessel vasculitis. We diagnosed Henoch–Schoenlein purpura based on clinical and histopathological findings and treated him with intravenous dexamethasone followed by oral prednisolone. The purpuric rashes disappeared in two weeks. Conclusions: Cutaneous manifestation of COVID-19 is usually diffuse maculopapular rashes. Other presentations include vesicular rashes and acral cyanosis. Dermal histopathological study in most patients with COVID-19 who developed cutaneous symptoms revealed perivascular inflammation and microthrombus in some cases. Thus, COVID-19 should be considered in any patient with a new onset of cutaneous symptoms.en
DOIhttps://doi.org/10.5812/numonthly.116227en
KeywordHenoch–Schoenlein Purpuraen
KeywordCOVID-19en
KeywordSARS Coronavirus-2en
PublisherBrieflandsen
TitleHenoch-Schoenlein Purpura Following Severe Acute Respiratory Syndrome Coronavirus-2 Infection: A Case Reporten
TypeCase Reporten

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