Cutaneous Complications Secondary to Haemostasis Abnormalities in COVID-19 Infection

  • Noel Lorenzo-Villalba Service de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Yasmine Maouche Service de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Aneska Syrovatkova Service de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Felix Pham Service de Dermatologie, Hôpitaux Universitaires de Strasboug, Strasbourg, France
  • Jean-Baptiste Chahbazian Service de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Pierre Pertoldi Service de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Emmanuel Andrès Service de Médecine Interne, Diabète et Maladies Métaboliques. Hôpitaux Universitaires de Strasboug. France
  • Abrar-Ahmad Zulfiqar Service de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, France

Keywords

COVID-19, dissecting haematoma, dermatoporosis, coagulation abnormalities

Abstract

We describe the case of a patient hospitalized for acute decompensated heart failure in a standard medical ward. During hospitalization, he was diagnosed with COVID-19 and transferred to a special unit. The clinical course was marked by worsening of the respiratory disease, the development of right parotiditis and thrombosis of the left internal jugular vein. Therapeutic anticoagulation was initiated and 2 days later, the minimal dermatoporosis lesions previously present in the upper extremities evolved to haemorrhagic bullae with intra-bullae blood clots and dissecting haematomas. Surgical management of the dissecting haematomas was difficult in the context of haemostasis abnormalities. The patient died 29 days after hospital admission.

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  • Published: 2020-06-12

    Issue: Vol 7 No 7 (view)

    Section: Articles

    How to cite:
    Lorenzo-Villalba, N., Maouche, Y., Syrovatkova, A., Pham, F., Chahbazian, J.-B., Pertoldi, P., Andrès, E., & Zulfiqar, A.-A. (2020). Cutaneous Complications Secondary to Haemostasis Abnormalities in COVID-19 Infection. European Journal of Case Reports in Internal Medicine, 7(7). https://doi.org/10.12890/2020_001769

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