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COVID-19 Pediatric Dermatology

Holly Neale1, Elena B Hawryluk2

  • 1Department of Dermatology, Massachusetts General Hospital, Boston, MA, USA; University of Massachusetts Medical School, Worcester, MA, USA.

Dermatologic Clinics
|September 24, 2021
PubMed

Insights

Pediatric COVID-19 skin manifestations can be the sole indicator of infection. Recognizing these unique dermatologic signs is crucial for timely diagnosis and management in children.

Area of Science:

  • Pediatric Infectious Diseases
  • Dermatology
  • Public Health

Background:

  • Children exhibit distinct COVID-19 presentations, often asymptomatic or mild.
  • Cutaneous manifestations can be the primary or sole sign of infection in pediatric cases.
  • Understanding these skin signs is vital for infection control and patient management.

Purpose of the Study:

  • To describe the presentation of skin manifestations in children with COVID-19.
  • To review pathophysiologic theories behind pediatric COVID-19 dermatologic findings.
  • To outline management strategies for cutaneous manifestations of COVID-19 in children.

Main Methods:

  • Literature review of pediatric COVID-19 cases with dermatologic involvement.
  • Analysis of reported skin lesion types and frequencies in children.
  • Synthesis of current understanding of viral-skin interactions in pediatric SARS-CoV-2 infection.

Main Results:

  • Pediatric COVID-19 skin findings range from common viral exanthems to specific patterns like chilblains.
  • Some dermatologic signs in children differ in frequency or presentation compared to adults.
  • Cutaneous signs may indicate broader systemic involvement or sequelae.

Conclusions:

  • Cutaneous manifestations are significant indicators of COVID-19 in children.
  • Early recognition of pediatric skin signs aids in prompt diagnosis and public health measures.
  • Further research into the pathophysiology and long-term implications of these findings is warranted.

Keywords:
COVID-19 childrenMIS-CPediatric dermatologyPernio-like lesionsPerniosis

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