Systemic lupus erythematosus and varicella-like rash following COVID-19 in a previously healthy patient
- PMID: 32926434
- DOI: 10.1002/jmv.26513
Systemic lupus erythematosus and varicella-like rash following COVID-19 in a previously healthy patient
Abstract
Emerging reports show that coronavirus disease 2019 (COVID-19) may lead to autoimmune and autoinflammatory diseases. However, COVID-19 triggered systemic lupus erythematosus (SLE) has never been reported to our knowledge. COVID-19 also has associated cutaneous manifestations. Here we present a case of SLE with antiphospholipid antibody syndrome in a previously healthy patient with COVID-19, who subsequently developped a varicella-like exanthem on the trunk. The disease resulted in death of the patient. The pathophysiological mechanisms resulting in overlapping disorders in our patient remain unknown, adding to the growing mystery of this virus and raising questions about the nature of its link with cutaneous, autoimmune, and autoinflammatory manifestations. Sharing the images of this case may benefit physicians dealing with similar patients during this pandemic.
Keywords: COVID-19; SARS-CoV-2; antiphospholipid antibody syndrome; dermatoscopy; systemic lupus erythematosus; varicella-like exanthem.
© 2020 Wiley Periodicals LLC.
Comment in
-
Systemic lupus erythematosus, varicella-like rash, and COVID-19.J Med Virol. 2021 Mar;93(3):1212. doi: 10.1002/jmv.26547. Epub 2020 Sep 30. J Med Virol. 2021. PMID: 32966621 Free PMC article. No abstract available.
-
Systemic lupus erythematosus and varicella-like rash following COVID-19 in a previously healthy patient.J Med Virol. 2021 May;93(5):2599. doi: 10.1002/jmv.26838. Epub 2021 Feb 12. J Med Virol. 2021. PMID: 33527457 Free PMC article. No abstract available.
References
REFERENCES
-
- Zhou Y, Han T, Chen J, et al. Clinical and autoimmune characteristics of severe and critical cases of COVID-19. Clin Transl Sci. 2020:cts.12805. https://doi.org/10.1111/cts.12805
-
- Caso F, Costa L, Ruscitti P, et al. Could Sars-coronavirus-2 trigger autoimmune and/or autoinflammatory mechanisms in genetically predisposed subjects? Autoimmun Rev. 2020;19(5):102524.
-
- Gao ZW, Wang X, Lin F, Dong K. The correlation between SARS-CoV-2 infection and rheumatic disease. Autoimmun Rev. 2020;19(7):102557.
-
- Smatti MK, Cyprian FS, Nasrallah GK, Al Thani AA, Almishal RO, Yassine HM. Viruses and autoimmunity: a review on the potential interaction and molecular mechanisms. Viruses. 2019;11(8):762.
-
- Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395:497-506.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous