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Case Reports
. 2020 May;37(3):437-440.
doi: 10.1111/pde.14210. Epub 2020 Jun 1.

Chilblain-like lesions in children following suspected COVID-19 infection

Cristiana Colonna  1 , Nicola Adriano Monzani  2 , Alessia Rocchi  3 , Raffaele Gianotti  4 , Francesca Boggio  5 , Carlo Gelmetti  1   4
Affiliations
Case Reports

Chilblain-like lesions in children following suspected COVID-19 infection

Cristiana Colonna et al. Pediatr Dermatol. 2020 May.

Abstract

During the COVID-19 pandemic, chilblain-like lesions have been reported in mildly symptomatic children and adolescents. We present four children investigated for suspected COVID-19 infection who presented with acral skin findings and mild systemic symptoms. Histology from one case showed signs of vasculitis with evident fibrin thrombus.

Keywords: infection-viral; skin signs of systemic disease; vasculitis.

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Figures

FIGURE 1
FIGURE 1
Patient 1, chilblains‐like lesions on the toes in an 11‐y‐old girl
FIGURE 2
FIGURE 2
Patient 2, moderately painful chilblains‐like lesions localized on the plantar surface of the first metatarsus in a 6‐y‐old girl
FIGURE 3
FIGURE 3
Patient 3, diffuse chilblains‐like lesions on the plantar surface of the left foot in a 5‐y‐old boy
FIGURE 4
FIGURE 4
Patient 4, chilblains‐like lesion on the lateral surface of the left foot in an 11‐y‐old girl
FIGURE 5
FIGURE 5
Patient 4, punch biopsy from the lateral surface of the left foot of Patient 4. Dense lymphocytic perivascular and periadnexal infiltrates extending to the subcutis. Inset: higher magnification of a small thrombus in a capillary vessel in the upper part of the dermis (arrow)
See this image and copyright information in PMC

Comment in

References

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