Tratamiento de las lesiones cutáneas secundarias a la infección por COVID-19.

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Title: Tratamiento de las lesiones cutáneas secundarias a la infección por COVID-19.
Alternate Title: Treatment of cutaneous lesions secondary to COVID-19 infection.
Authors: Galván Bañuelos, Guillermo1, Gamboa Esquivel, Jorge Edmundo2 jg44296@gmail.com
Source: Dermatología Revista Mexicana. Jan/Feb2025, Vol. 69 Issue 1, p22-31. 10p.
Abstract (English): BACKGROUND: COVID-19 produces dermatological lesions in around 20% of those infected; these lesions include erythema, papules, vesicles, urticaria, chilblains and forms of vasculitis. Its severity depends on the age and degree of immune and inflammatory compromise of the patient, so there is no unified treatment that guides the most effective therapeutic scheme for its resolution. OBJECTIVE: To describe the most effective treatments against dermatological manifestations of COVID-19 infection. METHODOLOGY: A review of studies that described the treatment implemented in patients with dermatological manifestations of COVID-19, published from January 2020 to January 2024 in the PubMed, Scopus, Embase and Google Scholar repositories, was made. RESULTS: A total of 14 articles were included, the skin lesions reported were mainly pruritic rash, exanthematous, thrombocytopenic purpura and vasculitis. In two studies, poor therapeutic efficacy was reported after the use of human immunoglobulin in combination with low doses of prednisolone, the remaining 12 studies used combinations of immunomodulators (monoclonal antibodies) and/or corticosteroids (prednisolone, methylprednisolone, dexamethasone) with adequate therapeutic efficacy. CONCLUSIONS: Corticosteroids are the most promising option in the treatment of dermatological symptoms of COVID-19, as they do not compromise the course of active infection (as with the use of monoclonal antibodies), while maintaining therapeutic efficacy. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): ANTECEDENTES: La COVID-19 produce lesiones dermatológicas en, incluso, el 20% de los infectados; estas lesiones incluyen eritema, pápulas, vesículas, urticaria, sabañones y formas de vasculitis. Su gravedad depende de la edad y el grado de afectación inmunitaria e inflamatoria del paciente, por lo que no existe un tratamiento unificado que oriente sobre el esquema terapéutico más efectivo. OBJETIVO: Describir los tratamientos más eficaces para combatir las manifestaciones dermatológicas de la infección por COVID-19. METODOLOGÍA: Revisión en la que se incluyeron estudios que describieran el tratamiento implementado en pacientes con manifestaciones dermatológicas de COVID-19, publicados de enero de 2020 a enero de 2024 en los repositorios de PubMed, Scopus, Embase y Google Scholar. RESULTADOS: Se incluyeron 14 artículos. Las lesiones cutáneas reportadas fueron principalmente: exantema pruriginoso, púrpura trombocitopénica y vasculitis. En dos estudios se reportó escasa eficacia terapéutica tras la administración de inmunoglobulina humana en combinación con dosis bajas de prednisolona. Los 12 estudios restantes utilizaron combinaciones de inmunomoduladores (anticuerpos monoclonales), corticosteroides (prednisolona, metilprednisolona, dexametasona) o ambos y mostraron eficacia terapéutica adecuada. CONCLUSIONES: Los corticosteroides son la opción más prometedora en el tratamiento de los síntomas dermatológicos de COVID-19, al no afectar el curso de la infección activa (como con los anticuerpos monoclonales), mientras mantienen la eficacia terapéutica. [ABSTRACT FROM AUTHOR]
Copyright of Dermatología Revista Mexicana is the property of Edicion y Farmacia S.A. de C.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Tratamiento de las lesiones cutáneas secundarias a la infección por COVID-19.
– Name: TitleAlt
  Label: Alternate Title
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  Data: Treatment of cutaneous lesions secondary to COVID-19 infection.
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  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Galván+Bañuelos%2C+Guillermo%22">Galván Bañuelos, Guillermo</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Gamboa+Esquivel%2C+Jorge+Edmundo%22">Gamboa Esquivel, Jorge Edmundo</searchLink><relatesTo>2</relatesTo><i> jg44296@gmail.com</i>
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  Data: <searchLink fieldCode="JN" term="%22Dermatología+Revista+Mexicana%22">Dermatología Revista Mexicana</searchLink>. Jan/Feb2025, Vol. 69 Issue 1, p22-31. 10p.
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: BACKGROUND: COVID-19 produces dermatological lesions in around 20% of those infected; these lesions include erythema, papules, vesicles, urticaria, chilblains and forms of vasculitis. Its severity depends on the age and degree of immune and inflammatory compromise of the patient, so there is no unified treatment that guides the most effective therapeutic scheme for its resolution. OBJECTIVE: To describe the most effective treatments against dermatological manifestations of COVID-19 infection. METHODOLOGY: A review of studies that described the treatment implemented in patients with dermatological manifestations of COVID-19, published from January 2020 to January 2024 in the PubMed, Scopus, Embase and Google Scholar repositories, was made. RESULTS: A total of 14 articles were included, the skin lesions reported were mainly pruritic rash, exanthematous, thrombocytopenic purpura and vasculitis. In two studies, poor therapeutic efficacy was reported after the use of human immunoglobulin in combination with low doses of prednisolone, the remaining 12 studies used combinations of immunomodulators (monoclonal antibodies) and/or corticosteroids (prednisolone, methylprednisolone, dexamethasone) with adequate therapeutic efficacy. CONCLUSIONS: Corticosteroids are the most promising option in the treatment of dermatological symptoms of COVID-19, as they do not compromise the course of active infection (as with the use of monoclonal antibodies), while maintaining therapeutic efficacy. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: ANTECEDENTES: La COVID-19 produce lesiones dermatológicas en, incluso, el 20% de los infectados; estas lesiones incluyen eritema, pápulas, vesículas, urticaria, sabañones y formas de vasculitis. Su gravedad depende de la edad y el grado de afectación inmunitaria e inflamatoria del paciente, por lo que no existe un tratamiento unificado que oriente sobre el esquema terapéutico más efectivo. OBJETIVO: Describir los tratamientos más eficaces para combatir las manifestaciones dermatológicas de la infección por COVID-19. METODOLOGÍA: Revisión en la que se incluyeron estudios que describieran el tratamiento implementado en pacientes con manifestaciones dermatológicas de COVID-19, publicados de enero de 2020 a enero de 2024 en los repositorios de PubMed, Scopus, Embase y Google Scholar. RESULTADOS: Se incluyeron 14 artículos. Las lesiones cutáneas reportadas fueron principalmente: exantema pruriginoso, púrpura trombocitopénica y vasculitis. En dos estudios se reportó escasa eficacia terapéutica tras la administración de inmunoglobulina humana en combinación con dosis bajas de prednisolona. Los 12 estudios restantes utilizaron combinaciones de inmunomoduladores (anticuerpos monoclonales), corticosteroides (prednisolona, metilprednisolona, dexametasona) o ambos y mostraron eficacia terapéutica adecuada. CONCLUSIONES: Los corticosteroides son la opción más prometedora en el tratamiento de los síntomas dermatológicos de COVID-19, al no afectar el curso de la infección activa (como con los anticuerpos monoclonales), mientras mantienen la eficacia terapéutica. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Dermatología Revista Mexicana is the property of Edicion y Farmacia S.A. de C.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Text: Spanish
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      – TitleFull: Tratamiento de las lesiones cutáneas secundarias a la infección por COVID-19.
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              Text: Jan/Feb2025
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