RT Journal Article SR Electronic T1 Brachial plexopathy as a complication of COVID-19 JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e237459 DO 10.1136/bcr-2020-237459 VO 14 IS 3 A1 Catherine Young Han A1 Andrew M Tarr A1 Alexandra N Gewirtz A1 Ulrike W Kaunzner A1 Paula Roy-Burman A1 Todd S Cutler A1 Daniel JL MacGowan YR 2021 UL http://casereports.bmj.com/content/14/3/e237459.abstract AB COVID-19 affects a wide spectrum of organ systems. We report a 52-year-old man with hypertension and newly diagnosed diabetes mellitus who presented with hypoxic respiratory failure due to COVID-19 and developed severe brachial plexopathy. He was not treated with prone positioning respiratory therapy. Associated with the flaccid, painfully numb left upper extremity was a livedoid, purpuric rash on his left hand and forearm consistent with COVID-19-induced microangiopathy. Neuroimaging and electrophysiological data were consistent with near diffuse left brachial plexitis with selective sparing of axillary, suprascapular and pectoral fascicles. Given his microangiopathic rash, elevated D-dimers and paucifascicular plexopathy, we postulate a patchy microvascular thrombotic plexopathy. Providers should be aware of this significant and potentially under-recognised neurologic complication of COVID-19.