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Acral lesions in a pediatric population during the COVID-19 pandemic: a case series of 36 patients from a single hospital in Spain.
Rosés-Gibert, Pau; Gimeno Castillo, Javier; Saenz Aguirre, Amaia; De la Torre Gomar, Francisco Javier; Carnero González, Lucía; Martinez de Lagrán Alvarez de Arcaya, Zuriñe; Gonzalez-Perez, Ricardo.
  • Rosés-Gibert P; Araba University Hospital, Francisco Leandro de Viana Street, 01009, Vitoria, Spain. pau_roses@hotmail.com.
  • Gimeno Castillo J; Araba University Hospital, Francisco Leandro de Viana Street, 01009, Vitoria, Spain.
  • Saenz Aguirre A; Araba University Hospital, Francisco Leandro de Viana Street, 01009, Vitoria, Spain.
  • De la Torre Gomar FJ; Araba University Hospital, Francisco Leandro de Viana Street, 01009, Vitoria, Spain.
  • Carnero González L; Araba University Hospital, Francisco Leandro de Viana Street, 01009, Vitoria, Spain.
  • Martinez de Lagrán Alvarez de Arcaya Z; Araba University Hospital, Francisco Leandro de Viana Street, 01009, Vitoria, Spain.
  • Gonzalez-Perez R; Araba University Hospital, Francisco Leandro de Viana Street, 01009, Vitoria, Spain.
World J Pediatr ; 16(6): 629-632, 2020 12.
Article in English | MEDLINE | ID: covidwho-754234
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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Pruritus / Coronavirus Infections / Erythema / Pandemics Type of study: Cohort study / Diagnostic study / Observational study / Prognostic study Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Country/Region as subject: Europa Language: English Journal: World J Pediatr Journal subject: Pediatrics Year: 2020 Document Type: Article Affiliation country: S12519-020-00390-0

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Pruritus / Coronavirus Infections / Erythema / Pandemics Type of study: Cohort study / Diagnostic study / Observational study / Prognostic study Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Country/Region as subject: Europa Language: English Journal: World J Pediatr Journal subject: Pediatrics Year: 2020 Document Type: Article Affiliation country: S12519-020-00390-0