Chilblains in children in the setting of COVID‐19 pandemic

Pediatric Dermatology - Tập 37 Số 3 - Trang 406-411 - 2020
David Andina Martínez1, Lucero Noguera‐Morel2, Marta Bascuas‐Arribas1, Jara Gaitero‐Tristán1, José Antonio Alonso‐Cadenas1, Silvia Escalada Pellitero1, Á. Hernández‐Martín2, Mercedes de la Torre‐Espi1, Isabel Colmenero3, Antonio Torrelo2
1Emergency Department, Hospital Infantil Universitario Niño Jesús, Madrid, Spain
2Department of Dermatology Hospital Infantil Universitario Niño Jesús Madrid Spain
3Department of Pathology, Hospital Infantil Universitario Niño Jesús, Madrid, Spain

Tóm tắt

AbstractBackgroundDifferent skin manifestations of COVID‐19 are being reported. Acral lesions on the hands and feet, closely resembling chilblains, have been recognized during the peak incidence of the COVID‐19 pandemic.Material and methodsA retrospective review of 22 children and adolescents with chilblain‐like lesions seen over a short period of time in the Emergency Department of a children's hospital during the peak incidence of COVID‐19 in Madrid, Spain.ResultsAll patients had lesions clinically consistent with chilblains of the toes or feet, with three also having lesions of the fingers. Pruritus and mild pain were the only skin symptoms elicited, and only 10 had mild respiratory and/or GI symptoms. None had fever. Coagulation tests, hemogram, serum chemistry, and lupus anticoagulant were normal in all patients tested. One out of 16 tested cases had elevated D‐dimer results, but without systemic symptoms or other laboratory anomalies. SARS‐CoV‐2 PCR tested in 19 cases was positive in just one case. Skin biopsies obtained in six patients were consistent with chilblains. On follow‐up, all cases showed spontaneous marked improvement or complete healing.ConclusionAcute chilblains were observed during COVID‐19 pandemic in children and teenagers. It is a mildly symptomatic condition with an excellent prognosis, usually requiring no therapy. Etiopathogenesis remains unknown.

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Pediatric Dermatology

Tập 37 Số 3

406-411

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