Common skin manifestations observed in children and adolescents with coronavirus disease 2019 (COVID-19) include acute urticaria, mottling, generalized maculopapular lesions, eyelid dermatitis, varicelliform lesions, and rash.

Overall, the most common skin manifestations in these patients were chilblain-like (pseudo-chilblain), EM-like, dactylitis, acral erythema, acute urticaria, livedo reticularis, mottling, acro-ischemia, generalized maculopapular lesions, eyelid dermatitis, miliaria-like, varicelliform lesions, and rash with petechiae and purpura.

In cases of symptomatic disease, the latency time from the appearance of general symptoms to cutaneous manifestations was from1 day to a few weeks. General symptoms appeared after cutaneous manifestations in 3 patients and appeared simultaneously in 2 cases. According to the investigators, skin lesions reported in the articles improved from 3 to 88 days without sequelae.

Of the 358 patients with COVID-19 who did not have fever or cough, 24.6% (95% CI, 20-29) reported at least 1 mucocutaneous manifestation.

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Regards

Kathy Andrews
Managing Editor
Journal of Clinical & Experimental Dermatology Research