CASE PRESENTATION
A previously healthy 67-year-old man presented to the Emergency
Department with fever evolving for 5 days and dry cough. Nasopharyngeal
swab polymerase chain reaction (PCR) confirmed Coronavirus disease 2019
(COVID-19) infection. The patient was diagnosed as a mild form of
COVID-19. He needed only symptomatic treatment and clinical monitoring.
Five days later, during his hospitalization in Infectious Disease
Department, we noted multiple
asymptomatic golden brown-colored infiltrated patches on the inner side
of his left leg (Figure 1a). The rest of physical examination did not
show any abnormalities. He has used, recently, only paracetamol. He
denied any exposure to a new product or trauma on both legs. Dermoscopic
examination showed brownish to
coppery-red diffuse coloration of the background, round to oval red dots
and globules (Figure 1b). Histological examination of skin biopsy
revealed superficial dermal
band-like infiltrate of lymphocytes and histiocytes, red blood cells
extravasation (Figure 2a). For further confirmation, Perls’ stain was
performed and showed hemosiderin
deposits in the dermis (Figure 2b). The evolution was marked by
spontaneous disappearance of skin lesions 2 weeks after clinical
recovery from COVID-19.