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dc.creatorFreeman, Esther E.
dc.creatorMcMahon, Devon E.
dc.creatorLipof, Jules B.
dc.creatorRosenbach, Misha
dc.creatorKovarik, Carrie
dc.creatorTakeshita, Junko
dc.creatorFrench, Lars E.
dc.creatorThiers, Bruce H.
dc.creatorHruza, George J.
dc.creatorFox, Lindy P.
dc.date.accessioned2020-07-13T15:09:05Z
dc.date.available2020-07-13T15:09:05Z
dc.date.created2020
dc.identifier.otherhttps://doi.org/10.1016/j.jaad.2020.05.109spa
dc.identifier.urihttp://hdl.handle.net/20.500.12010/10431
dc.description.abstractBackground: Increasing evidence suggests pernio-like lesions are cutaneous manifestations of COVID-19. Objective: To describe clinical and pathologic findings of pernio-like lesions in confirmed or suspected COVID-19 cases. Methods: An international dermatology registry was circulated to healthcare providers worldwide through the American Academy of Dermatology (AAD), International League of Dermatologic Societies (ILDS), and other organizations. Results: We documented 505 patients with dermatologic manifestations associated with COVID-19, including 318 (63%) with pernio-like lesions. Patients with pernio-like lesions were generally young and healthy, with relatively mild COVID-19. Of 318 cases confirmed or suspected as COVID-19 by providers, twenty-three cases (7%) were laboratory-confirmed COVID-19 positive, and 20 others (6%) were close contacts of confirmed COVID19 cases. Given current testing criteria, many patients lacked COVID-19 testing access. For 55% of patients, pernio-like lesions were their only symptom. In patients with other COVID-19 symptoms, pernio-like lesions typically appeared after other symptoms. Pernio-like lesions lasted a median of 14 days (IQR 10-21). Limitations: A case series cannot estimate population level incidence or prevalence. Additionally, there may be confirmation bias in reporting. We cannot exclude an epiphenomenon. Conclusions: Pernio-like skin changes of the feet and hands, without another explanation, may suggest COVID19 infection and should prompt confirmatory testing.spa
dc.format.extent14 páginasspa
dc.format.mimetypeimage/jepgspa
dc.publisherScience Directeng
dc.sourcereponame:Expeditio Repositorio Institucional UJTLspa
dc.sourceinstname:Universidad de Bogotá Jorge Tadeo Lozanospa
dc.subjectSkin lesionsspa
dc.subjectCOVID-19spa
dc.titlePernio-like skin lesions associated with COVID-19: a case series of 318 patients from 8 countriesspa
dc.type.localArtículospa
dc.subject.lembSíndrome respiratorio agudo gravespa
dc.subject.lembCOVID-19spa
dc.subject.lembSARS-CoV-2spa
dc.subject.lembCoronavirusspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.identifier.doihttps://doi.org/10.1016/j.jaad.2020.05.109spa


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