Dermatological Disorders Caused by Middle East Respiratory Syndrome


Hai Err 1 , * , Viroj Wiwanitkit 2

1 Medical Center, Sanitation 1 Medical Academic Center, Bangkok, Thailand

2 Tropical Medicine Unit, Hainan Medical University, Haikou, China

How to Cite: Err H, Wiwanitkit V. Dermatological Disorders Caused by Middle East Respiratory Syndrome. J Skin Stem Cell. 2015;2(3):e30817. doi: 10.17795/jssc30817.


Journal of Skin and Stem Cell: 2 (3); e30817
Published Online: September 29, 2015
Article Type: Letter
Received: June 16, 2015
Accepted: September 15, 2015

Dear Editor,

Middle East Respiratory Syndrome (MERS) is a significant and emerging disease that has already spread from its initial origin in the Middle East to several areas around the world (1). MERS is a respiratory infection that causes acute illnesses that can rapidly lead to respiratory failure and death. There are also non-respiratory issues, such as dermatological disorders like petechiae as a result of thrombocytopenia, which can arise during cases of MERS (2). In fact, up to 36 % of MERS patients have been reported to have symptoms of thrombocytopenia in the past (3). Since some cases of MERS can present mild, unrecognized, or asymptomatic cases of thrombocytopenic petechiae (4), differential diagnoses of MERS should be considered during examinations of patients with petechiae.


  • 1.

    Joob B, Wiwanitkit V. Magnitude to thrombocytopenia among the patients with novel Middle East respiratory syndrome. Platelets. 2015; 26(6) : 612 [DOI][PubMed]

  • 2.

    Leung CH, Gomersall CD. Middle East respiratory syndrome. Intensive Care Med. 2014; 40(7) : 1015 -7 [DOI][PubMed]

  • 3.

    Assiri A, Al-Tawfiq JA, Al-Rabeeah AA, Al-Rabiah FA, Al-Hajjar S, Al-Barrak A, et al. Epidemiological, demographic, and clinical characteristics of 47 cases of Middle East respiratory syndrome coronavirus disease from Saudi Arabia: A descriptive study. Lancet Infect Dis. 2013; 13(9) : 752 -61 [DOI][PubMed]

  • 4.

    Omrani AS, Matin MA, Haddad Q, Al-Nakhli D, Memish ZA, Albarrak AM. A family cluster of Middle East Respiratory Syndrome Coronavirus infections related to a likely unrecognized asymptomatic or mild case. Int J Infect Dis. 2013; 17(9) : e668 -72 [DOI][PubMed]

  • Copyright © 2015, Skin and Stem Cell Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.