Exfoliative dermatitis as a complication of drug eruption associated with COVID-19

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Abstract

We report a clinical case of exfoliative dermatitis associated with a novel coronavirus disease. A patient with moderate COVID-19 and decompensation of insulin-dependent diabetes mellitus, hypertension and obesity developed a generalized drug eruption. Treatment of coronavirus infection included drugs associated with the frequent development of skin allergic reactions: third-generation cephalosporin and hydroxychloroquine. In this clinical case, the patient had a generalized form of exfoliative dermatitis with moderate COVID-19. Thus, the generalization of drug eruption occurred with a decrease in the viral pneumonia foci area and was accompanied by repeated deterioration of general condition of the patient. Skin rashes resolved in the correction of concomitant pathology. Erythroderma has a benign course in hemostatic disorders and the use of systemic glucocorticosteroids, hyperglycemia therapy. For managing such patients, it is important to use an integrated approach, providing both the treatment of the underlying disease and the correction of comorbidity and complications. This is relevant for both dermatologist-venereologist and specialists involved in the treatment of COVID-19.

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About the authors

E V Faizullina

Kazan State Medical University

Author for correspondence.
Email: elenafs@mail.ru
Russian Federation, Kazan, Russia

I M Khismatulina

Kazan State Medical University

Email: elenafs@mail.ru
Russian Federation, Kazan, Russia

R M Abdrakhmanov

Kazan State Medical University

Email: elenafs@mail.ru
Russian Federation, Kazan, Russia

V V Usmanov

Zainskaya Central District Hospital

Email: elenafs@mail.ru
Russian Federation, Zainsk, Russia

References

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  2. Yusupova L.A. Current state of the problem of exfoliative dermatitis. Lechashchiy vrach. 2019; (11): 6–8. (In Russ.) doi: 10.26295/OS.2019.43.24.001.
  3. Temporary guidelines. Prevention, diagnosis and treatment of new coronavirus infection (COVID-19). Version 10 (08.02.2021). https://static-0.minzdrav.gov.ru/system/attachments/attaches/000/054/588/original/Временные_МР_COVID-19.pdf (access date: 29.05.2021). (In Russ.)
  4. Олисова О.Ю., Снарская Е.С., Теплюк Н.П., Прокофьев А.А. Кожные проявления у пациентов с новой коронавирусной инфекцией: клинические наблюдения. Рос. ж. кожн. и венерич. бол. 2020; 23 (2): 96–108. [¬Olisova O.Yu., Snarskaya E.S., Teplyuk N.P., Proko¬fiev A.A. Skin manifestations in patients with a new coronavirus infection: clinical cases. Rossiyskiy zhurnal kozhnykh i venericheskikh bolezney. 2020; 23 (2): 96–108. (In Russ.)] doi: 10.17816/dv41932.

Supplementary files

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1. JATS XML
2. Рис. 1. Пациентка Г.И.Ф. Диагноз: «Эксфолиативный дерматит». Поражение кожи лица и шеи

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3. Рис. 2. Пациентка Г.И.Ф. Диагноз: «Эксфолиативный дерматит». Поражение кожи ладоней

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4. Рис. 3. Пациентка Г.И.Ф. Диагноз: «Эксфолиативный дерматит». Поражение кожи ног

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5. Рис. 4. Пациентка Г.И.Ф. Состояние после лечения. Кожа живота

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6. Рис. 5. Пациентка Г.И.Ф. Состояние после лечения. Кожа лица и шеи

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7. Рис. 6. Пациентка Г.И.Ф. Состояние после лечения. Кожа ладоней

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© 2021 Faizullina E.V., Khismatulina I.M., Abdrakhmanov R.M., Usmanov V.V.

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