Pitiriasis rosada como manifestación dermatológica de infección por SARS-CoV-2: a propósito de un caso

Palabras clave: pitiriasis rosada, COVID-19, SARS-CoV-2, coronavirus, piel, urticaria, exantema, manifestaciones cutáneas.

Resumen

Las manifestaciones cutáneas relacionadas a la infección por el coronavirus SARS-CoV-2, causante de COVID-19, se han descrito entre el 0,2% y 20,4% de las personas que cursan con esta enfermedad. Las más frecuentemente descritas son: lesiones maculopapulares (47%), lesiones acrales eritematosas con vesículas o pústulas (pseudoperniosis) (19%), urticariales (19%), lesiones vesiculosas (9%) y livedo/necrosis (6%). En particular, la pitiriasis rosada es una dermatosis autolimitada de etiología desconocida, sin embargo, se ha visto asociada a la infección por SARS-CoV-2, con algunos reportes de casos en la literatura. El mecanismo fisiopatológico de las lesiones cutáneas en COVID-19 no es claro, y se han planteado algunas teorías, entre las cuales está el papel que juega la enzima convertidora de angiotensina 2 (ACE2) utilizada por el virus para infectar las células, los infiltrados linfocíticos, los depósitos de factores del complemento en la piel, y la reactivación de virus latentes como los herpes virus humanos. Se presenta el caso de una paciente con pitiriasis rosada asociada a COVID-19 y se describen los casos reportados hasta la fecha.

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Biografía del autor/a

Jhon Edwar García-Rueda, Universidad de Antioquia

Médico General, Hospital Pablo Tobón Uribe. Docente de Cátedra, Universidad de Antioquia. Medellín, Colombia. https://orcid.org/0000-0002-9394-7361

Ana María Caicedo-Bolaños, Hospital Pablo Tobón Uribe

Médica General, Residente de Ginecología y Obstetricia, Universidad de Antioquia. Hospital Pablo Tobón Uribe, Medellín, Colombia. https://orcid.org/0000-0001-9927-4009 

Angélica María Bermúdez-Flórez, Universidad de Antioquia

Médica General, Universidad de Antioquia. Medellín, Colombia. https://orcid.org/0000-0003-4891-6352

Felipe Baena-Gallego, Universidad CES

Médico General, Residente de Medicina de Urgencias, Universidad CES. Medellín, Colombia.
https://orcid.org/0000-0003-3812-6154

Luz Adriana Gómez-Ramírez, Hospital Pablo Tobón Uribe

Médica General, Hospital Pablo Tobón Uribe. Medellín, Colombia. https://orcid.org/0000-0003-1564-1751

Ana Lucía Correa-Ángel, Hospital Pablo Tobón Uribe

Médica, Especialista en Medicina Interna, Especialista en Infectología. Departamento de Prevención y Control de Infecciones, Hospital Pablo Tobón Uribe. Medellín, Colombia. https://orcid.org/0000-0001-9088-2251

Luz Adriana Vásquez-Ochoa, Hospital Pablo Tobón Uribe

Médica, Especialista en Dermatología. Departamento de Dermatología, Hospital Pablo Tobón Uribe. Medellín, Colombia. https://orcid.org/0000-0002-3503-2710

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Cómo citar
1.
García-Rueda JE, Caicedo-Bolaños AM, Bermúdez-Flórez AM, Baena-Gallego F, Gómez-Ramírez LA, Correa-Ángel AL, Vásquez-Ochoa LA. Pitiriasis rosada como manifestación dermatológica de infección por SARS-CoV-2: a propósito de un caso. Med. Lab. [Internet]. 4 de abril de 2022 [citado 4 de junio de 2023];26(2):177-86. Disponible en: https://medicinaylaboratorio.com/index.php/myl/article/view/575
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2022-04-04
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