Ischemic stroke and purpuric dermatitis as COVID-19-related complications in a peritoneal dialysis patient.

CEN Case Reports
Alberto de Lorenzo AlvarezAlfonso Cubas

Abstract

Patients on dialysis may have an elevated risk of severe coronavirus disease 2019 (COVID-19) and its complications due to their high prevalence of comorbidities. Here we describe the case of an 80-year-old male undergoing peritoneal dialysis with a moderate SARS-CoV-2 infection who developed a purpuric dermatitis and ischemic stroke after successful recovery from his bilateral pneumonia. Erythemato-papular lesions affecting trunk and lower limbs appeared 17 days after the onset of SARS-CoV-2 symptoms. These kind of lesions are an infrequent cutaneous manifestation of COVID-19. The pathology revealed a moderate purpuric dermatitis affecting superficial dermis and corticoesteroids were prescribed achieving complete resolution. Arterial thrombosis affecting cerebellar vermis emerged 30 days after the onset of COVID-19 symptoms. It occurred 5 days after withdrawal of antithrombotic prophylaxis that the patient received from his admission until 2 weeks after discharge. He completely recovered from his paresis and continued on his regular antiaggregation therapy. This is the first case report published of a patient with PD with such COVID-19-related complications. More experience is needed to determine the appropriate length of antit...Continue Reading

References

Aug 15, 2019·Journal of Thrombosis and Haemostasis : JTH·Toshiaki IbaUNKNOWN Scientific and Standardization Committee on DIC, and the Scientific and Standardization Committee on Perioperative and Criti
Feb 20, 2020·Journal of Thrombosis and Haemostasis : JTH·Ning TangZiyong Sun
Mar 24, 2020·Journal of the European Academy of Dermatology and Venereology : JEADV·Yue Zheng, Wei Lai
Mar 28, 2020·Journal of the European Academy of Dermatology and Venereology : JEADV·S Recalcati
Mar 30, 2020·Lancet·Andrea SagliettoGaetano Maria De Ferrari
Apr 11, 2020·American Journal of Clinical Pathology·Lisa M BartonSanjay Mukhopadhyay
Apr 14, 2020·Journal of the American Academy of Dermatology·Iviensan F ManaloRandy Jacobs
Apr 14, 2020·Journal of the American Academy of Dermatology·Juan Jimenez-CauheDiego Fernandez-Nieto
Apr 16, 2020·Journal of the European Academy of Dermatology and Venereology : JEADV·A MahéL Bottlaender
Apr 16, 2020·Journal of the European Academy of Dermatology and Venereology : JEADV·D Fernandez-NietoJ Jimenez-Cauhe
Apr 16, 2020·Journal of the European Academy of Dermatology and Venereology : JEADV·A EstébanezM D Ramón
Apr 16, 2020·Journal of the European Academy of Dermatology and Venereology : JEADV·C-J Su, C-H Lee
Apr 16, 2020·Journal of the European Academy of Dermatology and Venereology : JEADV·D HenryE Esteve
Apr 21, 2020·International Journal of Stroke : Official Journal of the International Stroke Society·Gaurav AggarwalBrandon Michael Henry
Apr 25, 2020·Journal of the European Academy of Dermatology and Venereology : JEADV·S RecalcatiF Fantini
Apr 25, 2020·Journal of the European Academy of Dermatology and Venereology : JEADV·A TammaroJ Rello
Apr 28, 2020·Journal of the European Academy of Dermatology and Venereology : JEADV·J D BouazizM Rybojad
Apr 29, 2020·The New England Journal of Medicine·Thomas J OxleyJohanna T Fifi
May 1, 2020·Thrombosis Research·Corrado LodigianiUNKNOWN Humanitas COVID-19 Task Force
May 2, 2020·Journal of Neurology, Neurosurgery, and Psychiatry·Rahma BeyroutiDavid J Werring
May 4, 2020·Brain, Behavior, and Immunity·Akshay AvulaDany Elsayegh
May 8, 2020·Translational Stroke Research·David C HessElizabeth Rutkowski
May 31, 2020·The Lancet. Respiratory Medicine·Sharon E FoxRichard S Vander Heide
Jun 13, 2020·The New England Journal of Medicine·Isaac H SolomonPardis Sabeti

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Citations

Apr 4, 2021·Dermatology and Therapy·Paolo GisondiLuigi Naldi
Feb 15, 2021·Reviews in the Neurosciences·Giovanni FrisulloPaolo Calabresi

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Methods Mentioned

BETA
X-ray
biopsy

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