COVID-19 (SARS-CoV-2) infection presenting as acute urticaria

Abstract

In addition to typical respiratory clinical manifestations,¹ patients with SARS-CoV-2 infection may also exhibit extrapulmonary clinical manifestations. As we continue to discover more about SARS-CoV-2, it is becoming evident that its presentation, course of disease, and clinical manifestations differ from person to person. Not only that, it is presenting with a wide range of findings, skin manifestations might be one of the rare signs of the disease.² We encountered a unique case in our outpatient setting via telemedicine. Our patient presented with usual signs and clinical manifestations of the disease and developed a total body urticarial eruption with red margins and raised skin-colored center 4 days after our initial encounter. Later, she tested positive for COVID-19. She did not require hospitalization and was managed with supportive care and antihistamines.