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Pernio-like skin lesions associated with COVID-19: a case series of 318 patients from 8 countries
dc.creator | Freeman, Esther E. | |
dc.creator | McMahon, Devon E. | |
dc.creator | Lipof, Jules B. | |
dc.creator | Rosenbach, Misha | |
dc.creator | Kovarik, Carrie | |
dc.creator | Takeshita, Junko | |
dc.creator | French, Lars E. | |
dc.creator | Thiers, Bruce H. | |
dc.creator | Hruza, George J. | |
dc.creator | Fox, Lindy P. | |
dc.date.accessioned | 2020-07-13T15:09:05Z | |
dc.date.available | 2020-07-13T15:09:05Z | |
dc.date.created | 2020 | |
dc.identifier.other | https://doi.org/10.1016/j.jaad.2020.05.109 | spa |
dc.identifier.uri | http://hdl.handle.net/20.500.12010/10431 | |
dc.description.abstract | Background: 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.extent | 14 páginas | spa |
dc.format.mimetype | image/jepg | spa |
dc.publisher | Science Direct | eng |
dc.source | reponame:Expeditio Repositorio Institucional UJTL | spa |
dc.source | instname:Universidad de Bogotá Jorge Tadeo Lozano | spa |
dc.subject | Skin lesions | spa |
dc.subject | COVID-19 | spa |
dc.title | Pernio-like skin lesions associated with COVID-19: a case series of 318 patients from 8 countries | spa |
dc.type.local | Artículo | spa |
dc.subject.lemb | Síndrome respiratorio agudo grave | spa |
dc.subject.lemb | COVID-19 | spa |
dc.subject.lemb | SARS-CoV-2 | spa |
dc.subject.lemb | Coronavirus | spa |
dc.rights.accessrights | info:eu-repo/semantics/openAccess | spa |
dc.type.hasversion | info:eu-repo/semantics/acceptedVersion | spa |
dc.identifier.doi | https://doi.org/10.1016/j.jaad.2020.05.109 | spa |