Yellow nail syndrome is a rare lymphatic abnormality without a clear pathogenesis. Hereby, we report A 70-year Sudanese female who presented with recurrent cough, recurrent lower limb swelling and yellowish nail discoloration diagnosed as yellow nail syndrome but unfortunately passed away due to acute respiratory distress syndrome (ARDS).

Acute pericarditis is uncommon presentation of COVID-19. Here we described a case of 50-year-old male who presented with chest pain without fever nor cough and diagnosed with acute pericarditis complicated by pericardial effusion due to COVID-19 after exclusion of other cause and receive supportive treatment and improve over two weeks.

Acute pericarditis and pericardial effusion are rare extrapulmonary presentations of COVID-19. They can occur without concomitant pulmonary disease or myocardial injury. A high index of suspicion is necessary to assure early diagnosis and treatment.