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pmid32584760      Ugeskr+Laeger 2020 ; 182 (26): ä
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  • Acral ischaemia with multiple microthromboses and imminent gangrene in a 73-year-old woman with COVID-19 #MMPMID32584760
  • Andersen MB; Lund ML; Jacobsen S; Kumler T; Simonsen S; Ravn P
  • Ugeskr Laeger 2020[Jun]; 182 (26): ä PMID32584760show ga
  • This is a report of an atypical presentation of COVID-19. The patient had sparse pulmonary symptoms despite characteristic COVID-19 lesions on CT-thorax and developed severe acral ischaemic change, after a few days of hospitalisation. The condition could not be explained by classical sepsis with hypotension and hypoperfusion, disseminated intravascular coagulation, vasculitis, endocarditis or severe peripheral arteriosclerosis. A skin biopsy showed microthrombosis, interpreted as an activation of the coagulation system associated with COVID-19. Apparently, there are multiple COVID-19 phenotypes.
  • |Aged[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*pathology[MESH]
  • |Female[MESH]
  • |Gangrene/*virology[MESH]
  • |Humans[MESH]
  • |Ischemia/*virology[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*pathology[MESH]
  • |SARS-CoV-2[MESH]


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