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Rigshospitalet - a part of Copenhagen University Hospital
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Akral iskæmi med multiple mikrotromber og truende gangræn ved COVID-19-infektion

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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.

Translated title of the contributionAcral ischaemia with multiple microthromboses and imminent gangrene in a 73-year-old woman with COVID-19
Original languageDanish
JournalUgeskrift for Laeger
Volume182
Issue number26
ISSN0041-5782
Publication statusPublished - 22 Jun 2020

ID: 62406064