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10.1111/pde.14805

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suck abstract from ncbi


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pmid34515379      Pediatr+Dermatol 2021 ; 38 (5): 1143-1149
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  • "COVID toes": A meta-analysis of case and observational studies on clinical, histopathological, and laboratory findings #MMPMID34515379
  • Rocha KO; Zanuncio VV; Freitas BAC; Lima LM
  • Pediatr Dermatol 2021[Sep]; 38 (5): 1143-1149 PMID34515379show ga
  • BACKGROUND: Coronavirus disease (COVID-19) is related to several extrapulmonary disorders; however, little is known about the clinical, laboratory, and histopathological characteristics of pernio-like skin lesions associated with COVID-19 infection. OBJECTIVE: To evaluate and summarize the clinical, laboratory, and histopathological characteristics of pernio-like lesions reported in the literature. METHODS: We conducted a search of the PubMed, SciELO, and ScienceDirect databases for articles published between January 1, 2020 and November 30, 2020, following the PRISMA recommendations (PROSPERO registration ID: CRD42020225055). The target population was individuals with suspected or laboratory-confirmed COVID-19 with pernio-like lesions. Observational studies, research letters, and case/series reports were all eligible for inclusion. Observational studies were evaluated using a random-effects model to calculate the weighted mean prevalence, overall mean, and 95% confidence interval. We evaluated case studies using the chi-square test for dichotomous variables and the Mann-Whitney test for continuous variables. RESULTS: A total of 187 patients from case reports and 715 patients from 18 observational studies were included. The mean age of patients was 16.6 years (range 14.5-18.8). Feet were affected in 91.4% (87.0-94.4%) of patients in observational studies. The proportion of patients with a positive RT-PCR test was less than 15%. Lesion topography and morphology were associated with age. CONCLUSION: Lesions mostly occurred in pediatric patients, and the morphological characteristics tended to differ between pediatric and non-pediatric populations. There is a possible multifactorial component in lesion pathophysiology. The non-positivity of laboratory tests does not exclude an association with COVID-19. Pernio-like lesions may be a late manifestation of COVID-19.
  • |*COVID-19[MESH]
  • |*Chilblains[MESH]
  • |Adolescent[MESH]
  • |Child[MESH]
  • |Humans[MESH]
  • |Laboratories[MESH]
  • |Observational Studies as Topic[MESH]
  • |SARS-CoV-2[MESH]


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