RESUMO
BACKGROUND: In times of coronavirus, a patient with respiratory symptoms whose chest CT scan reveals ground-glass opacities, COVID-19 may seem an obvious diagnosis. CASE DESCRIPTION: At the (currently assumed) peak of the coronavirus crisis, a 12-year-old boy was admitted to the hospital twice for severe respiratory symptoms. A chest CT scan revealed ground-glass opacities.COVID-19 pneumonia was initially thought of. However, it turned out to be a rare interstitial pulmonary disease. CONCLUSION: Due to the increased awareness about COVID-19, tunnel vision is lurking. Even during a health crisis, doctors should remain alert to alternative diagnoses.
Assuntos
COVID-19/diagnóstico , Doenças Pulmonares Intersticiais/diagnóstico , Pulmão , COVID-19/epidemiologia , COVID-19/fisiopatologia , COVID-19/psicologia , Teste para COVID-19 , Criança , Tomada de Decisão Clínica , Diagnóstico Diferencial , Humanos , Julgamento , Pulmão/diagnóstico por imagem , Pulmão/fisiopatologia , Doenças Pulmonares Intersticiais/fisiopatologia , Masculino , SARS-CoV-2 , Avaliação de Sintomas/métodos , Tomografia Computadorizada por Raios X/métodosRESUMO
We present a neonate with transient neonatal pustular melanosis, a benign skin rash seen in 0.2-2.2% of white neonates and in 4-5% of black neonates. Vesicopustular lesions are present at birth, the lesions rupture in 24-48 hours leaving hyperpigmented macules. These slowly fade in 3-10 weeks.