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Non-specific oral and cutaneous manifestations of Coronavirus Disease 2019 in children

E Bardellini1, M-P Bondioni, F Amadori

  • 1Dental Clinic p.le Spedali Civili n.1 25133 Brescia, Italy elena.bardellini@unibs.it.

Medicina Oral, Patologia Oral Y Cirugia Bucal
|March 27, 2021
PubMed

Insights

Coronavirus Disease 2019 (COVID-19) in children often presents with non-specific oral and skin symptoms. This study examined these manifestations in pediatric patients with COVID-19.

Area of Science:

  • Pediatric Infectious Diseases
  • Dermatology
  • Oral Medicine

Background:

  • Limited understanding of COVID-19's impact on children.
  • Children are considered less affected by COVID-19, leading to fewer studies on pediatric manifestations.
  • Focus on oral and cutaneous symptoms in pediatric COVID-19 cases is needed.

Purpose of the Study:

  • To investigate the oral and cutaneous manifestations of COVID-19 in children.
  • To describe the clinical presentation of COVID-19 in a pediatric cohort.
  • To identify specific oral lesions and skin findings associated with pediatric COVID-19.

Main Methods:

  • Retrospective cross-sectional study design.
  • Analysis of medical records of pediatric patients diagnosed with COVID-19.
  • Data collected included demographics, clinical symptoms, oral lesions, taste alterations, and cutaneous lesions.

Main Results:

  • Twenty-seven pediatric patients (mean age 4.2 years) were analyzed.
  • Common clinical presentations included fever and cough.
  • Observed oral manifestations: hyperemic pharynx (37%), pseudomembranous candidiasis (7.4%), coated tongue (7.4%), geographic tongue (3.7%).
  • Taste alteration reported in 3 patients; cutaneous flat papular lesions in 6 patients.

Conclusions:

  • COVID-19 in children is associated with non-specific oral manifestations.
  • Cutaneous lesions were also observed in a subset of pediatric patients.
  • Findings highlight the variability of COVID-19 presentation in childhood.
Abstract

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