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10.1111/pde.14566

http://scihub22266oqcxt.onion/10.1111/pde.14566
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33742457!8250200!33742457
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suck abstract from ncbi


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pmid33742457      Pediatr+Dermatol 2021 ; 38 (2): 364-370
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  • Acral Changes in pediatric patients during COVID 19 pandemic: Registry report from the COVID 19 response task force of the society of pediatric dermatology (SPD) and pediatric dermatology research alliance (PeDRA) #MMPMID33742457
  • Castelo-Soccio L; Lara-Corrales I; Paller AS; Bean E; Rangu S; Oboite M; Flohr C; Ahmad RC; Calberg V; Gilliam A; Pope E; Reynolds S; Sibbald C; Shin HT; Berger E; Schaffer J; Siegel MP; Cordoro KM
  • Pediatr Dermatol 2021[Mar]; 38 (2): 364-370 PMID33742457show ga
  • BACKGROUND/OBJECTIVE: In spring 2020, high numbers of children presented with acral pernio-like skin rashes, concurrent with the coronavirus disease 2019 (COVID-19) pandemic. Understanding their clinical characteristics/ infection status may provide prognostic information and facilitate decisions about management. METHODS: A pediatric-specific dermatology registry was created by the Pediatric Dermatology COVID-19 Response Task Force of the Society for Pediatric Dermatology (SPD) and Pediatric Dermatology Research Alliance (PeDRA) and was managed by Children's Hospital of Philadelphia using REDCap. RESULTS: Data from 378 children 0-18 years entered into the registry between April 13 and July 17, 2020 were analyzed. Data were drawn from a standardized questionnaire completed by clinicians which asked for demographics, description of acral lesions, symptoms before and after acral changes, COVID-19 positive contacts, treatment, duration of skin changes, laboratory testing including SARS-CoV-2 PCR and antibody testing, as well as histopathology. 229 (60.6%) were male with mean age of 13.0 years (+/- 3.6 years). Six (1.6%) tested positive for SARS-CoV-2. Pedal lesions (often with pruritus and/or pain) were present in 96%. 30% (114/378) had COVID-19 symptoms during the 30 days prior to presentation. Most (69%) had no other symptoms and an uneventful course with complete recovery. CONCLUSIONS AND RELEVANCE: Children with acral pernio-like changes were healthy and all recovered with no short-term sequelae. We believe these acral changes are not just a temporal epiphenomenon of shelter in place during the spring months of the first wave of the COVID-19 pandemic and may be a late phase reaction that needs further study.
  • |*COVID-19[MESH]
  • |Adolescent[MESH]
  • |Child[MESH]
  • |Dermatology/*trends[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Pandemics[MESH]
  • |Pediatrics/*trends[MESH]
  • |Philadelphia[MESH]
  • |Registries[MESH]


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