Pityraisis Licheniodes after cOVID-19 vaccination

•The importance of this case lies in the possible link between the COVID-19 vaccine and Pityriasis lichenoides et varioliformis acuta (PLEVA). Prior to his COVID-19 vaccine, the patient had never had an outbreak of PLEVA. Therefore, PLEVA could be considered as a possible reaction to the COVID-19 vaccination.

•PLEVA mimics many common diseases and can be misdiagnosed. This can lead to a great deal of emotional and psychological distress for the patient and his family members due to lack of symptom resolution.

•In this case, the patient was diagnosed with scabies. He had his apartment fumigated multiple times and was using permethrin cream with no relief of his symptoms. In addition to this the cost of fumigating the apartment as well as multiple visits to urgent care caused a great deal of financial stress. Therefore, it is important to correctly diagnosis the disease to avoid emotional and financial stress to the patient.