r-n-jРоссийский неврологический журналRussian neurological journal2658-79472686-7192МИА10.30629/2658-7947-2021-26-3-46-50r-n-j-187Research ArticleИССЛЕДОВАНИЯ И КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCLINICAL RESEARCHES AND CASE REPORTSПаралич Белла и аллергическая сыпь как первые проявления COVID-19Bell’s palsy and urticarial rash as fi rst manifestations of COVID-19 infectionhttps://orcid.org/0000-0002-4036-8649ДеревянкоХ. П.DerevyankoKh. P.

Деревянко Христина Петровна

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khristina@mail.ruhttps://orcid.org/0000-0002-5590-7270ХусаиноваЛ. Н.KhusainovaL. N.

Уфа

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https://orcid.org/0000-0002-1287-814XХафизовМ. М.KhafizovM. M.

Уфа

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https://orcid.org/0000-0002-9548-3660СаттароваА. Ш.SattarovaA. Sh.

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https://orcid.org/0000-0002-0100-6100СафинШ. М.SafinSh. M.

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ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава РоссииРоссияBashkir State Medical UniversityRussian Federation2021210720212634650Copyright © Деревянко Х.П., Хусаинова Л.Н., Хафизов М.М., Саттарова А.Ш., Сафин Ш.М., 20212021Деревянко Х.П., Хусаинова Л.Н., Хафизов М.М., Саттарова А.Ш., Сафин Ш.М.Derevyanko K.P., Khusainova L.N., Khafizov M.M., Sattarova A.S., Safin S.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.r-n-j.com/jour/article/view/187

Новый коронавирус SARS-CoV-2 представляет собой одноцепочечный РНК-содержащий вирус, семейства Coronaviridae и клинически проявляется в основном респираторными симптомами. Однако у пациентов описаны симптомы и осложнения со стороны нервной системы, а также кожные проявления. Представлено проявление коронавирусной инфекции (SARS-CoV-2) у больной 58 лет в виде пневмонии с дыхательной недостаточностью I степени средней степени тяжести и паралича Белла в сочетании с кожными высыпаниями в виде уртикарной сыпи. Особенность данного наблюдения состоит в проявлении кожной и неврологической симптоматики до развития респираторных симптомов. Представленное наблюдение свидетельствует о том, что COVID-19 до развития респираторных симптомов может проявляться периферическим параличом лицевого нерва и сочетаться с кожными высыпаниями, что может осложнить своевременную диагностику вирусного заболевания.

The new coronavirus SARS-CoV-2 is a single-stranded RNA virus of the Coronaviridae family and is clinically manifest with respiratory symptoms. However, patients have been described with symptoms and complications from the nervous system, as well as skin manifestations in the form of various rashes. In our clinical case of coronavirus infection (SARS-CoV-2), this is pneumonia with respiratory failure of the 1st degree, moderate severity and Bell’s palsy in combination with skin rashes in the form of an urticarial rash in a 58-year-old woman. Clinical features of cutaneous and neurological symptoms were prior to the development of respiratory symptoms. The presented clinical case showed that COVID-19, before the development of respiratory symptoms, can manifest itself with peripheral paralysis of the facial nerve and be combined with skin rashes, which can complicate the timely diagnosis of a viral disease.

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The authors declare that there are no conflicts of interest present.