Telogen effluvium, Beau lines, and acral peeling associated with COVID-19 infection

Abstract

INTRODUCTION Since December 2019, SARS-CoV-2 has infected over 30 million people in the United States, accounting for over 550,000 deaths. While heroic public health efforts have led to increased screening and early detection, a large proportion of infected individuals remain asymptomatic during the acute viremic phase and may not manifest any signs or symptoms until the convalescent phase. Within the dermatology community, there have been ongoing efforts to document the many cutaneous manifestations of COVID-19 as they may be the only sign of COVID-19 infection, and prompt diagnosis and management of disease may lead to better health outcomes. COVID-19-associated cutaneous findings can mimic inflammatory skin conditions (morbilliform, urticarial, or vesicular) or resemble vascular dermatoses (pseudo-chilblains, purpura, or livedoid). In addition, a late manifestation of COVID-19 has included Kawasaki-like multisystem inflammatory syndrome in children and recently in adults as well. We present a novel case of a patient who developed skin, hair, and nail changes shortly following the resolution of COVID-19.