Dear Editor,We read with interest the paper by Lim and Wylie
published recently in Clinical and Experimental Dermatology, in which they proposed a possible association between an exanthema‐like eruption of the skin and the administration of the ChAdOx1 nCoV‐19 (AstraZeneca‐Oxford) COVID‐19 vaccine.Adverse skin reaction to any drug or vaccine is possible. Regarding the new COVID‐19 vaccine, the pathomechanism is interesting. It is questionable whether there is any other possible cause of exanthema such as co‐infection by other viruses. Regarding this proposed adverse effect of the vaccine, a possible mechanism is the increase in blood viscosity after vaccination.
Exanthema‐like lesion is a possible uncommon clinical presentation of hyperviscosity.
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