World J Pediatr . Acral lesions in a pediatric population during the COVID-19 pandemic: a case series of 36 patients from a single hospital in Spain

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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 ¹ , Javier Gimeno Castillo ² , Amaia Saenz Aguirre ² , Francisco Javier De la Torre Gomar ² , Luc?a Carnero Gonz?lez ² , Zuri?e Martinez de Lagr?n Alvarez de Arcaya ² , Ricardo Gonzalez-Perez ²



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.