Chilblain-like lesions in a pediatric patient

Authors

  • Diana Alba Department of Pediatrics, Centro Hospitalar do Tâmega e Sousa
  • Inês Cascais Department of Pediatrics, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário de Santo António
  • Mafalda Moreira Department of Pediatrics, Centro Hospitalar do Tâmega e Sousa https://orcid.org/0000-0003-2753-9025
  • Maria Céu Ribeiro Department of Pediatrics, Centro Hospitalar do Tâmega e Sousa https://orcid.org/0009-0002-2672-021X
  • Jorge Abreu Ferreira Department of Pediatrics, Centro Hospitalar do Tâmega e Sousa

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v32.i1.23901

Keywords:

chilblains, COVID-19, COVID-toes, foot, pernio, skin

Abstract

COVID-19 usually has a mild course in the pediatric population. Several cutaneous manifestations of the condition have been reported, being chilblain-like lesions one of the most common in younger ages. These may manifest as erythematous or violaceous macules, mostly involving the toes and feet, but less frequently also the fingers and hands. These patients usually have a favorable outcome, with complete spontaneous regression of lesions and no complications. The authors report the case of a 12-year-old female patient who presented to the Emergency Department with cutaneous lesions suggestive of chilblains and a diagnosis of COVID-19 infection 17 days earlier.

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References

Ladha MA, Luca N, Constantinescu C, Naert K, Ramien ML. Approach to Chilblains During the COVID-19 Pandemic. Journal of Cutaneous Medicine and Surgery. 2020. 24(5): 504-17. doi: https://doi.org/10.1177/1203475420937.

Pavone P, Marino S, Marino L, Cacciaguerra G, Guarneri C, Nunnari G, et al. Chilblains-like lesions and SARS-CoV-2 in children: An overview in therapeutic approach. Dermatologic Therapy. 2021. 34:1-5. doi: https://doi.org/10.1111/dth.14502.

Andina D, Noguera-Morel L, Bascuas-Arribas M, Gaitero-Tristán J, Alonso-Cadenas JA, Escalada-Pellitero S, et al. Chilblains in children in the setting of COVID-19 pandemic. Pediatric Dermatology. 2020. 37: 406-11. doi: https://doi.org/10.1111/pde.14215.

Massey PR, Jones KM. Going viral: A brief history of Chilblain-like skin lesions (“COVID toes”) amidst the COVID-19 pandemic. Seminars in Oncology. 2020. 47: 330-4.

Koschitzky M, Oyola RR, Lee-Wong M, Abittan B, Silverberg N. Pediatric COVID Toes and Fingers. Clinics in Dermatology. 2020. doi: https://doi.org/10.1016/j.clindermatol.2020.12.016.

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Published

2023-06-23

How to Cite

1.
Alba D, Cascais I, Moreira M, Ribeiro MC, Abreu Ferreira J. Chilblain-like lesions in a pediatric patient. BGMJ [Internet]. 2023 Jun. 23 [cited 2025 Dec. 9];32(1):50-2. Available from: https://revistas.rcaap.pt/bgmj/article/view/23901

Issue

Vol. 32 No. 1 (2023)

Section

Image Cases

License

Copyright (c) 2023 Diana Alba, Inês Cascais, Mafalda Moreira, Maria Céu Ribeiro, Jorge Abreu Ferreira

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