COVID-19 and Cutaneous manifestations Dear Editor We found that the article on 'Cutaneous manifestations in COVID-19: a first perspective' is very interesting. 1 Recalcati noted that 20.4% of the patients have cutaneous problem and mentioned that this is the first report on this clinical aspect of COVID-19. The wide spectrum of dermatological problem in patients with COVID-19 is an interesting clinical data. Based on our experiences in Thailand, the second country that COVID-19 occurred, almost all patients have no significant dermatological presentation. In fact, in caring patient with severe illness, skin disorder might not be completely investigated. The role of dermatologist in caring COVID-19 patients might be overlooked. An important question is whether the dermatological problem in COVID-19 has any clinical impact on diagnosis and treatment of disease. Some skin disorders in COVID-19 might result in missed diagnosis. For example, the petechiae rash might result in incorrect diagnosis as dengue.
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