Acrallesions in a pediatric population during the COVID-19 pandemic:a case series of 36 patients from a single hospitalin Spain

Background To describe the cutaneous acral findings in a pediatric population noticed during this pandemic.Methods A retrospective descriptive study was performed collecting data on 36 patients under 14 years old,presenting suspicious acral skin manifestations for coronavirus disease 2019 (COVID-19).Results Patients were mostly male (63.8％).The mean age was 11.11 years.66.67％ of patients showed erythematous papules,and 44.44％ purpuric macules.Feet were affected in 97.22％ of patients and hands in 5.55％.Lesions were asymptomatic in 50％ of patients.30.55％ of patients showed extracutaneous findings,preceding skin lesions in 12.62 days.Seven patients underwent specific severe acute coronavirus 2 (SARS-CoV-2) testing;.all of these patients tested negative.Conclusions The association between these symptoms and SARS-CoV-2 remains unclear.We recommend using these mani?festations as a sign of SARS-CoV-2 infection in children.This could lead to the examination of asymptomatic and mildly symptomatic children so that contagions may be avoided.