tetano
Editor, Senior Moderator
World J Pediatr
. 2020 Sep 8.
doi: 10.1007/s12519-020-00390-0. Online ahead of print.
Acral lesions in a pediatric population during the COVID-19 pandemic: a case series of 36 patients from a single hospital in Spain
Pau Ros?s-Gibert[SUP] 1 [/SUP], Javier Gimeno Castillo[SUP] 2 [/SUP], Amaia Saenz Aguirre[SUP] 2 [/SUP], Francisco Javier De la Torre Gomar[SUP] 2 [/SUP], Luc?a Carnero Gonz?lez[SUP] 2 [/SUP], Zuri?e Martinez de Lagr?n Alvarez de Arcaya[SUP] 2 [/SUP], Ricardo Gonzalez-Perez[SUP] 2 [/SUP]
Affiliations
Abstract
Background: To describe the cutaneous acral findings in a pediatric population noticed during this pandemic.
Methods: A retrospective descriptive study was performed collecting data on 36 patients under 14 years old, presenting suspicious acral skin manifestations for coronavirus disease 2019 (COVID-19).
Results: Patients were mostly male (63.8%). The mean age was 11.11 years. 66.67% of patients showed erythematous papules, and 44.44% purpuric macules. Feet were affected in 97.22% of patients and hands in 5.55%. Lesions were asymptomatic in 50% of patients. 30.55% of patients showed extracutaneous findings, preceding skin lesions in 12.62 days. Seven patients underwent specific severe acute coronavirus 2 (SARS-CoV-2) testing; all of these patients tested negative.
Conclusions: The association between these symptoms and SARS-CoV-2 remains unclear. We recommend using these manifestations as a sign of SARS-CoV-2 infection in children. This could lead to the examination of asymptomatic and mildly symptomatic children so that contagions may be avoided.
Keywords: Acral lesions; Acute acro-ischemia; COVID-19; Chilblain-like.
. 2020 Sep 8.
doi: 10.1007/s12519-020-00390-0. Online ahead of print.
Acral lesions in a pediatric population during the COVID-19 pandemic: a case series of 36 patients from a single hospital in Spain
Pau Ros?s-Gibert[SUP] 1 [/SUP], Javier Gimeno Castillo[SUP] 2 [/SUP], Amaia Saenz Aguirre[SUP] 2 [/SUP], Francisco Javier De la Torre Gomar[SUP] 2 [/SUP], Luc?a Carnero Gonz?lez[SUP] 2 [/SUP], Zuri?e Martinez de Lagr?n Alvarez de Arcaya[SUP] 2 [/SUP], Ricardo Gonzalez-Perez[SUP] 2 [/SUP]
Affiliations
- PMID: 32901377
- DOI: 10.1007/s12519-020-00390-0
Abstract
Background: To describe the cutaneous acral findings in a pediatric population noticed during this pandemic.
Methods: A retrospective descriptive study was performed collecting data on 36 patients under 14 years old, presenting suspicious acral skin manifestations for coronavirus disease 2019 (COVID-19).
Results: Patients were mostly male (63.8%). The mean age was 11.11 years. 66.67% of patients showed erythematous papules, and 44.44% purpuric macules. Feet were affected in 97.22% of patients and hands in 5.55%. Lesions were asymptomatic in 50% of patients. 30.55% of patients showed extracutaneous findings, preceding skin lesions in 12.62 days. Seven patients underwent specific severe acute coronavirus 2 (SARS-CoV-2) testing; all of these patients tested negative.
Conclusions: The association between these symptoms and SARS-CoV-2 remains unclear. We recommend using these manifestations as a sign of SARS-CoV-2 infection in children. This could lead to the examination of asymptomatic and mildly symptomatic children so that contagions may be avoided.
Keywords: Acral lesions; Acute acro-ischemia; COVID-19; Chilblain-like.