key: cord-0974720-yiolh26k
authors: Adam, Ishag
title: Is herpes zoster being an indicator for COVID 19 infection?
date: 2020-06-16
journal: Dermatol Ther
DOI: 10.1111/dth.13846
sha: de442080ec3ee14262999933f11896b07c5319bd
doc_id: 974720
cord_uid: yiolh26k

nan

It is recognized that the majority of the infections with COVID-19 presented with mild and moderate symptoms, however, the minority (15%) of the infections can progress to severe pneumonia and acute respiratory distress syndrome (ARDS), or can progress to multiple organ failure [1] . Morbilliform rashes, chicken-pox like lesions, covid toe and a various lesions were the main skin manifestations reported during COVID 19 epidemics [2] . There are recent reports on cases of herpes zoster infections among a symptomatic COVID-19 infection [3, 4] .

Therefore, identifying or to raise the suspicion of the asymptomatic carriers is of paramount in the management of COVID-19 outbreak.

infections is the lymphopenia (which can favour herpes virus recurrences) which is a result of infecting lymphocytes and activation-induced cell death and impairment to antiviral responses [5] . Therefore, the point of herpes zoster infections among a symptomatic COVID-19 infection should be put in mind when a broad immunosuppression is used in patients with severe viral illness and the pros and cons of anti-inflammatory effects versus the delay of virus clearance [6] .

The author declares no conflict of interest.

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