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Published on: November 5, 2021
Covid-19 skin manifestations: an update
Xavier Sanchez-Flores1,2, Thy Huynh1,2, Jennifer T Huang1,2
1Boston Children's Hospital, Dermatology Program.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), or COVID-19, can cause various skin conditions in children and adults. Common findings include chilblains-like lesions, while some manifestations like erythema multiforme-like lesions are unique to the pediatric population.
Area of Science:
- Dermatology
- Infectious Diseases
- Pediatrics
Background:
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes COVID-19, a multisystemic disease.
- COVID-19 presents with respiratory symptoms and can manifest with diverse cutaneous findings.
Purpose of the Study:
- To review SARS-CoV-2 associated cutaneous findings.
- To determine the incidence and relevance of these skin manifestations in the pediatric population.
Main Methods:
- Literature review of studies on COVID-19 and associated skin conditions.
- Analysis of reported cutaneous manifestations in adult and pediatric populations.
Main Results:
- Common COVID-19 skin findings include chilblains-like lesions, maculopapular eruption, urticarial lesions, vesicular lesions, and livedoid lesions.
- Pediatric patients may exhibit erythema multiforme (EM)-like lesions and skin findings related to multisystem inflammatory syndrome in children (MIS-C).
- Livedoid lesions are less common in children.
Conclusions:
- COVID-19 presents with a wide spectrum of cutaneous manifestations.
- Certain skin findings, such as EM-like lesions and MIS-C related rashes, are specific to the pediatric population.
- Management ranges from supportive care for mild cases to intensive care for severe disease.
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