{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:40:03Z","timestamp":1756276803779,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,1,15]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>The COVID-19 pandemic has resulted in an incomparable disease burden worldwide. One of the main contributors stems from the multisystem inflammatory syndrome associated with SARS-CoV-2 infection. The numbers of those affected continue to rise with the increasing number of confirmed COVID-19 cases. However, we are yet to fully comprehend the risk factors, disease progression and prognosis for individuals affected. We describe a case of a previously healthy 17-year-old boy who tested positive for the SARS-CoV-2 virus. He presented with a 5-day history of mild influenza-like symptoms, however, quickly required ventilatory support in the intensive care unit. Two months postdischarge, he developed an isolated petechial rash on his palms and soles. His cutaneous presentation was in association with a mixed sensorimotor peripheral neuropathy, debilitating neuropathic pain and intermittent respiratory distress. We postulate that cutaneous manifestations post-COVID-19 could be indicatory of the newly identified multisystem inflammatory syndrome.<\/jats:p>","DOI":"10.1136\/bcr-2020-240863","type":"journal-article","created":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T13:23:37Z","timestamp":1611840217000},"page":"e240863","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Rare cutaneous manifestation of COVID-19"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0269-681X","authenticated-orcid":false,"given":"Lisa","family":"Killion","sequence":"first","affiliation":[{"name":"Dermatology, Tallaght University Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7832-406X","authenticated-orcid":false,"given":"Paula Evelyn","family":"Beatty","sequence":"additional","affiliation":[{"name":"Dermatology, Tallaght University Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asad","family":"Salim","sequence":"additional","affiliation":[{"name":"Dermatology, Tallaght University Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,1,28]]},"reference":[{"key":"2025082622585609000_14.1.e240863.1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.19264"},{"key":"2025082622585609000_14.1.e240863.2","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1111\/jdv.16670","article-title":"Cutaneous small vessel vasculitis secondary to COVID-19 infection: a case report","volume":"34","author":"Mayor-Ibarguren","year":"2020","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"2025082622585609000_14.1.e240863.3","doi-asserted-by":"publisher","DOI":"10.1056\/nejmsr2005760"},{"key":"2025082622585609000_14.1.e240863.4","doi-asserted-by":"crossref","DOI":"10.1016\/j.jaad.2020.03.036","article-title":"COVID-19 can present with a rash and be mistaken for dengue","volume":"82","author":"Joob","year":"2020","journal-title":"J Am Acad Dermatol"},{"key":"2025082622585609000_14.1.e240863.5","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1001\/jamadermatol.2020.1741","article-title":"Petechial skin rash associated with severe acute respiratory syndrome coronavirus 2 infection","volume":"156","author":"Diaz-Guimaraens","year":"2020","journal-title":"JAMA Dermatol"},{"key":"2025082622585609000_14.1.e240863.6","doi-asserted-by":"crossref","first-page":"e141","DOI":"10.1016\/j.jaad.2020.04.016","article-title":"Reply to \"COVID-19 can present with a rash and be mistaken for dengue\": Petechial rash in a patient with COVID-19 infection","volume":"83","author":"Jimenez-Cauhe","year":"2020","journal-title":"J Am Acad Dermatol"},{"key":"2025082622585609000_14.1.e240863.7","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1111\/jdv.16531","article-title":"Cutaneous manifestation of COVID-19 in images: a case report","volume":"34","author":"Avellana Moreno","year":"2020","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"2025082622585609000_14.1.e240863.8","doi-asserted-by":"crossref","DOI":"10.1111\/dth.13549","article-title":"Cutaneous signs in COVID-19 patients: a review","volume":"33","author":"Wollina","year":"2020","journal-title":"Dermatol Ther"},{"key":"2025082622585609000_14.1.e240863.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.trsl.2020.04.007"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-240863","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T05:59:03Z","timestamp":1756274343000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-240863"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,1,28]]},"published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1136\/bcr-2020-240863"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-240863","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}