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

Cristiana Colonna1, Nicola Adriano Monzani2, Alessia Rocchi3

  • 1Pediatric Dermatology Department, IRCCS Foundation Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy.

Pediatric Dermatology
|May 7, 2020
PubMed

Insights

Mildly symptomatic children can develop chilblain-like skin lesions during COVID-19. Histology revealed vasculitis with fibrin thrombi in affected pediatric patients.

Area of Science:

  • Dermatology
  • Pediatrics
  • Infectious Diseases

Background:

  • The COVID-19 pandemic has seen various mucocutaneous manifestations.
  • Chilblain-like lesions, also known as 'COVID toes', have been observed in pediatric cases.

Observation:

  • This study details four children with suspected COVID-19 infection.
  • These children presented with acral skin findings and mild systemic symptoms.

Findings:

  • Histopathological examination of one case demonstrated vasculitis.
  • Evidence of fibrin thrombus was noted in the affected blood vessels.

Implications:

  • These findings suggest a potential link between COVID-19 and vasculitic skin reactions in children.
  • Understanding these dermatological manifestations is crucial for pediatricians during the pandemic.

Keywords:
infection-viralskin signs of systemic diseasevasculitis

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