新型冠狀病毒（COVID-19）感染者之皮膚相關臨床特徵

Review: Cutaneous Manifestations of COVID-19 Infection

劉康玲(Connie Liu) ； 溫素瑩(Su-Ying Wen) ； 蕭勝煌(Sheng-Huang Hsiao)

《北市醫學雜誌》 18卷2期 (2021/06) Pp. 103-109

https://doi.org/10.6200/TCMJ.202106_18(2).0001

摘要

疾病的皮膚表現常常能由外表觀察到變化，若能更暸解COVID-19感染者的皮膚相關特徵，將有助於第一線醫護人員提高警覺，對醫療做更好的把關。有鑒於此，本文蒐集整理COVID-19感染者的皮膚相關特徵，希望可以與居家醫療照護、醫院醫療照護及遠距醫療照護者分享彼此經驗。COVID-19感染者相關的皮膚表現包含斑性丘狀紅疹、蕁麻疹、COVID腳趾（凍瘡樣變化）、水皰、網狀青斑及出血點。目前雖不能做為診斷依據，但若配合系統性評估，將有助於鑑別診斷及提升醫療照護品質，進而強化醫療防護。

關鍵字

COVID-19 ； 皮膚科學 ； 皮膚臨床特徵

並列摘要

The skin manifestation of a disease can often be easily observed from outside. A better understanding of the skin-related characteristics of the COVID-19 helps the first-line medical staff increase alertness and ensure a better medical service. Given this, we collected and reviewed the skin-related characteristics of COVID-19 infected people, and to share the experiences with firstline caregivers, including home-based medical care and telemedicine caregivers. These features include maculopapular rash, urticaria, chilblain-like changes, vesicles, livedo reticularis, and petechiae. Although these skin manifestations cannot be used as a basis for diagnosis, however, when combined with a systematic evaluation, they help differentiate the diagnosis and improve medical care quality, ultimately strengthening the health care safety-net.

並列關鍵字

COVID-19 ； dermatology ； cutaneous manifestations