Dear Editor, During the coronavirus disease 2019 (COVID‐19) pandemic, a 15‐year‐old black female patient with Caribbean ancestry presented with 2 weeks of a pruritic, hyperpigmented, reticulated eruption on the trunk (a–c), polydipsia, polyuria, and unintentional 20‐lb weight loss. Skin biopsy was consistent with prurigo pigmentosa (PP). Laboratory investigations revealed new‐onset type 1 diabetes coincident with a positive test for SARS‐CoV‐2 IgG. Although there is a known relationship between PP and ketosis, this case raises the possibility that PP and new‐onset type 1 diabetes may be delayed manifestations of COVID‐19. This case also addresses the dearth of images related to PP and COVID‐19 in skin‐of‐colour patients.1, 2
Acknowledgments
we thank the patient and her father for permission to publish this report.
Author Contribution
Kristina M. Derrick: Conceptualization (lead); Visualization (lead); Writing‐original draft (lead); Writing‐review & editing (supporting). Daniel R. Mazori: Conceptualization (supporting); Visualization (lead); Writing‐original draft (lead); Writing‐review & editing (lead). Edward R. Heilman: Conceptualization (supporting); Supervision (lead); Visualization (supporting); Writing‐review & editing (lead). Sharon Glick: Conceptualization (lead); Supervision (lead); Visualization (supporting); Writing‐review & editing (lead).
Contributor Information
K.M. Derrick, Department of Dermatology SUNY Downstate Health Sciences University Brooklyn NY USA NYC Health + Hospitals/Kings County Brooklyn NY USA.
D.R. Mazori, Department of Dermatology SUNY Downstate Health Sciences University Brooklyn NY USA NYC Health + Hospitals/Kings County Brooklyn NY USA.
E.R. Heilman, Department of Dermatology SUNY Downstate Health Sciences University Brooklyn NY USA NYC Health + Hospitals/Kings County Brooklyn NY USA.
S.A. Glick, Department of Dermatology SUNY Downstate Health Sciences University Brooklyn NY USA; NYC Health + Hospitals/Kings County Brooklyn NY USA.
References
- Dijkstra JW, Bergfeld WF, Taylor JS, Ranchoff RE. Prurigo pigmentosa. A persistent lichenoid reaction to bismuth? Int J Dermatol 1987; 26:379–81. [DOI] [PubMed] [Google Scholar]
- Lester JC, Jia JL, Zhang L et al. Absence of images of skin of colour in publications of COVID‐19 skin manifestations. Br J Dermatol 2020; 183:593–5. [DOI] [PMC free article] [PubMed] [Google Scholar]