COVID-19 (SARS-CoV-2) Infection Presenting as Acute Urticaria()()

Farhan, Mariam; Bilori, Bilori; Aronin, Steven

In addition to typical respiratory symptoms, patients with SARS-CoV-2 infections may also exhibit extra-pulmonary clinical manifestations. As we continue to discover more about SARS-CoV-2, it is becoming evident that its presentation, course of disease along with clinical manifestations differs 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. We encountered a unique case in our outpatient setting via telemedicine. Our patient presented with usual signs and symptoms of the disease and developed a total body urticarial eruption with red margins and raised skin colored center, four 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.