Study population and setting
A case series of 6 patients with dermatologic (chilblain-like) manifestations suspected due to COVID-19. The cases were reported to a group of dermatologists providing application-based home care to urgent dermatologic cases in Spain.
Summary of Main Findings
Six patients (ages 15, 15, 23, 24, 33, 44 and 91 years) presented with mildly painful and sometimes itchy skin lesions found mainly on the toes, heels, soles of feet, and fingers. One patient without known contact to COVID-19 presented with mild bilateral pneumonia but was otherwise asymptomatic and tested negative on polymerase chain reaction (PCR) and antibody tests for COVID-19. Three patients (one with known exposure to COVID-19 and one from a high-risk area) showed mild symptoms, such as nasal congestion, diarrhea, fever, headache, and sore throat in the 1-3 weeks prior to appearance of the skin lesions, but were not tested for COVID-19. Two patients, including the 91 year-old who required hospitalization, tested positive for COVID-19 prior to the arrival of skin lesions.
Detailed description with images of potentially novel presentation of COVID-19.
Heterogenous presentation with only 2 confirmed COVID-19 cases. The lesions were not biopsied. Small sample size.
First (known) coverage of a series of patients with chilblain-like skin lesions on feet (mainly toes) following potential exposure to or known COVID-19 infection.