Suspected COVID-19-related reticulated purpura of the soles in an infant

David Andina; Isabel Colmenero; Carlos Santonja; Irene Muñoz de León; Lucero Noguera-Morel; Angela Hernández-Martín; Antonio Torrelo

doi:10.1111/pde.14409

Suspected COVID-19-related reticulated purpura of the soles in an infant

Pediatr Dermatol. 2021 Jan;38(1):301-303. doi: 10.1111/pde.14409. Epub 2020 Oct 21.

Authors

David Andina¹, Isabel Colmenero², Carlos Santonja³, Irene Muñoz de León¹, Lucero Noguera-Morel⁴, Angela Hernández-Martín⁴, Antonio Torrelo⁴

Affiliations

¹ Emergency Department, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.
² Department of Pathology, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.
³ Department of Pathology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.
⁴ Department of Dermatology, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.

PMID: 33085141
DOI: 10.1111/pde.14409

Abstract

A growing number of skin lesions during the COVID-19 pandemic are being recognized. Acral ischemic lesions identical to chilblains are most typical in children and young adults. We report an infant girl, aged 1 month and 29 days, with a peculiar reticulated purpuric eruption on her soles, with positive immunohistochemistry for SARS-CoV-2 in the endothelia of dermal blood vessels. The patient had an excellent outcome without specific therapy.

Keywords: COVID-19; SARS-CoV-2; acro-ischemic lesions; chilblain; exanthem; immunohistochemistry; pernio; skin; viral diseases.

MeSH terms

COVID-19 / complications*
Female
Foot / blood supply*
Humans
Infant
Purpura / virology*
SARS-CoV-2