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. 2020 Dec;16(6):629-632.
doi: 10.1007/s12519-020-00390-0. Epub 2020 Sep 8.

Acral lesions in a pediatric population during the COVID-19 pandemic: a case series of 36 patients from a single hospital in Spain

Pau Rosés-Gibert  1 , Javier Gimeno Castillo  2 , Amaia Saenz Aguirre  2 , Francisco Javier De la Torre Gomar  2 , Lucía Carnero González  2 , Zuriñe Martinez de Lagrán Alvarez de Arcaya  2 , Ricardo Gonzalez-Perez  2
Affiliations

Acral lesions in a pediatric population during the COVID-19 pandemic: a case series of 36 patients from a single hospital in Spain

Pau Rosés-Gibert et al. World J Pediatr. 2020 Dec.

Abstract

Background: To describe the cutaneous acral findings in a pediatric population noticed during this pandemic.

Methods: A retrospective descriptive study was performed collecting data on 36 patients under 14 years old, presenting suspicious acral skin manifestations for coronavirus disease 2019 (COVID-19).

Results: Patients were mostly male (63.8%). The mean age was 11.11 years. 66.67% of patients showed erythematous papules, and 44.44% purpuric macules. Feet were affected in 97.22% of patients and hands in 5.55%. Lesions were asymptomatic in 50% of patients. 30.55% of patients showed extracutaneous findings, preceding skin lesions in 12.62 days. Seven patients underwent specific severe acute coronavirus 2 (SARS-CoV-2) testing; all of these patients tested negative.

Conclusions: The association between these symptoms and SARS-CoV-2 remains unclear. We recommend using these manifestations as a sign of SARS-CoV-2 infection in children. This could lead to the examination of asymptomatic and mildly symptomatic children so that contagions may be avoided.

Keywords: Acral lesions; Acute acro-ischemia; COVID-19; Chilblain-like.

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Conflict of interest statement

The authors declare that there is no conflict of interest.

Figures

Fig. 1
Fig. 1
Erythematous chilblain-like plaques distributed in the dorsum of the right toes
Fig. 2
Fig. 2
Purpuric brownish macule affecting to proximal nail border of the first toe of the right foot
See this image and copyright information in PMC

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