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.