Case N°1 :
An 82 year-old male, diabetic on insulin therapy, had been admitted to
COVID-19 department. He was diagnosed with a severe COVID -19 pneumonia
confirmed with a positive polymerase chain reaction (PCR) and chest
tomography that showed 75% impairment scored CORADS 6, with progressive
deterioration of respiratory function motivating his transfer to
intensive care 5 days after his admission. Laboratory findings showed
lymphopenia and elevation of inflammation markers, kidney function
remained normal during his hospitalization.
Two days prior to respiratory symptoms, the patient reported the
appearance of finger nails changes. Physical examination found color
anomaly of all finger-nails, with white proximal portion of the nail and
red distal half in favour of Lindsay nails or half and half nail aspect.
Dermoscopy gave a clear vision to the sharp line of demarcation between
the 2 portions, in addition to some mega-capillaries.
The patient died in intensive care unit due to respiratory distress.