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Updated: Dec 11, 2025

Author Spotlight: Advancements in Multiplex Detection of Respiratory Viruses
Published on: November 10, 2023
The rise and evolution of COVID-19
Mohsen Baghchechi1, Navin Jaipaul2,3,4, Sharon E Jacob3,4,5
1University of California, School of Medicine, Riverside, CA, USA.
Insights
Skin manifestations like rashes and "COVID toes" can appear in children and adolescents with COVID-19, sometimes before respiratory symptoms. Dermatologists can help identify the disease through these cutaneous findings.
Area of Science:
- Virology
- Dermatology
- Epidemiology
Background:
- Coronaviridae (CoV) are zoonotic viruses causing illnesses from common colds to severe epidemics.
- A novel coronavirus caused the 2019 COVID-19 pandemic, necessitating rapid containment and early detection strategies.
- Understanding disease hallmarks is crucial for management and triage during the COVID-19 outbreak.
Purpose of the Study:
- To investigate the association between COVID-19 and cutaneous findings.
- To highlight the potential role of dermatologists in identifying COVID-19 through skin manifestations.
- To document the timing and presentation of skin conditions in relation to COVID-19 illness.
Main Methods:
- Review of clinical presentations and case reports of COVID-19 patients.
- Analysis of documented cutaneous findings in individuals with confirmed COVID-19.
- Correlation of skin symptom onset with respiratory symptom onset and recovery phases.
Main Results:
- Common cutaneous findings include maculopapular rashes, livedo reticularis, and acro-ischemic lesions ('COVID toes').
- These skin manifestations were observed in pediatric and adolescent populations, predominantly.
- Skin findings appeared at various times, from preceding respiratory symptoms to weeks post-recovery.
Conclusions:
- Cutaneous presentations are significant indicators of COVID-19, particularly in younger populations.
- Dermatological assessment can aid in the early detection and diagnosis of COVID-19.
- The role of dermatologists is expanded in managing and identifying COVID-19 through its dermatological manifestations.
Abstract:
Coronaviridae (CoV) is a large family of zoonotic viruses linked to a range of diseases from the common cold to severe acute and Middle East respiratory syndrome CoV epidemics. In 2019, a novel virus emerged from Wuhan, China, and resulted in a marked worldwide outbreak of respiratory illness. Prevention and containment became the prioritized intervention against COVID-19, coupled with a continued search for hallmarks of the disease that would allow early detection and provide insight into management and triage. Cutaneous findings associated with COVID-19 include diffuse maculopapular rashes, livedo reticularis, and acro-ischemic "COVID toes." These skin findings occurred anywhere from days before respiratory symptom onset to weeks after recovery, and predominantly in child and adolescent populations. The role of dermatologists can be expanded during this COVID-19 pandemic to help identify disease through cutaneous presentations.
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