Reply to: "Various forms of skin rash in COVID-19: Petechial rash in a patient with COVID-19 infection".

To the Editor: We appreciate the additional information from Jimenez-Cauhe et al on our report on a skin rash in a patient with COVID-19. Jimenez-Cauhe et al showed a clinical picture of a skin rash at the axilla of a patient. As a new emerging virus infection, the dermatologic presentation is an interesting clinical feature.

The skin rash in our previous publication that looked like the skin rash in dengue copresented with thrombocytopenia in a patient with COVID-19. Nevertheless, there is also the possibility that there might be other forms of COVID-19 skin rashes. In a previous report on a classical coronavirus infection, the rash appeared to be recurrent; “target-like purpuric plaques” was reported as another clinical presentation.

In the present clinical case by Jimenez-Cauhe et al, the rash might be a coincidence or an actual COVID-19–induced skin rash. Whether the lesion described by Jimenez- Cauhe et al is related to the pathophysiologic process of COVID-19 or not should be further studied.