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. 2020 Sep;34(9):e440-e441.
doi: 10.1111/jdv.16636. Epub 2020 Jun 8.

Chilblain acral lesions in the COVID-19 era. Are they marker of infection in asymptomatic patients?

A Ramondetta  1 , M Panzone  1 , P Dapavo  1 , M Ortoncelli  1 , M T Giura  1 , M Licciardello  1 , G Rozzo  1 , N Siliquini  1 , M T Fierro  1 , S Ribero  1
Affiliations

Chilblain acral lesions in the COVID-19 era. Are they marker of infection in asymptomatic patients?

A Ramondetta et al. J Eur Acad Dermatol Venereol. 2020 Sep.
No abstract available

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Conflict of interest statement

All authors have nothing to disclose.

Figures

Figure 1
Figure 1
These images show respectively the left (a) and the right hand (b) of a 40‐year‐old man who developed these purpuric maculo‐papular lesions on the fingers, accompanied by pain and itching, but in the absence of systemic symptoms, poorly responsive to topical steroid therapy, spontaneously regressed after about 15–20 days.
Figure 2
Figure 2
(a) Swelling with erythema and oedema of the left big toe of a 4‐year‐old infant, apparently not painful, whose mother had been fevering for 20 days. (b) This is the left foot of a 9‐year‐old girl, daughter of the patient mentioned in Fig. 1, who had developed these erythematous‐violaceous lesions on the toes bilaterally, a few days before the onset of the father's manifestations. (c) A 11‐year‐old boy who developed erythematous‐purpuric infiltrate plaques to the heels about 10 days after the onset of fever in the mother, poorly responsive to the application of local steroid. (d) Infiltrated and painful erythematous‐violaceous plaque, appeared at the apex of the right big toe of a 25‐year‐old boy, asymptomatic. (e) Chilblain‐like lesions bilaterally affecting the toes of a 28‐year‐old girl, asymptomatic. (f) Ulcerative, violaceous lesion, complication of a previous bullous lesion, on the plantar surface of the fourth toe of the left foot of a 60‐year‐old man, smoker, who came to our attention already at the end of February, free of systemic symptoms.
See this image and copyright information in PMC

References

    1. Estébanez A, Pérez‐Santiago L, Silva E, Guillen‐Climent S, García‐Vázquez A, Ramón MDJ. Cutaneous manifestations in COVID‐19: a new contribution. Eur Acad Dermatol Venereol 2020. 10.1111/jdv.16474. [Epub ahead of print]. - DOI - PMC - PubMed
    1. Takci Z, Vahaboglu G, Eksioglu H. Epidemiological patterns of perniosis, and its association with systemic disorder. Clin Exp Dermatol 2012; 37: 844. - PubMed
    1. Cappel JA, Wetter DA. Clinical characteristics, etiologic associations, laboratory findings, treatment, and proposal of diagnostic criteria of pernio (chilblains) in a series of 104 patients at Mayo Clinic, 2000 to 2011. Mayo Clin Proc 2014; 89: 207–215. - PubMed
    1. Wigley FM, Flavahan NA. Raynaud’s phenomenon. Rheum Dis Clin North Am 1996; 22: 765–781. - PubMed
    1. Cribier B, Djeridi N, Peltre B, Grosshans E. A histologic and immunohistochemical study of chilblains. J Am Acad Dermatol 2001; 45: 924–929. - PubMed