Not COVID Toes: Pool Palms and Feet in Pediatric Patients

Cutis. 2021 Nov;108(5):276-295. doi: 10.12788/cutis.0385.


So-called COVID toes is probably the most publicized cutaneous manifestation of COVID-19. The parents of 4 patients pursued dermatology evaluation with concerns about COVID-19 infection in their children who presented with symmetric, focal, erythematous lesions of the hands or feet, or both. We elicited a history of extended time in swimming pools for the 4 patients that was associated with COVID-19 restrictions during summer months of the pandemic and recognized findings of frictional and pressure-induced erythema and scaling, leading to a diagnosis of pool palms and feet-an extension of pool palms. It is important to recognize this diagnosis and provide reassurance to the patients and caregivers because the condition warrants no notable workup or therapeutic intervention.

MeSH terms

  • COVID-19*
  • Child
  • Foot
  • Hand
  • Humans
  • SARS-CoV-2
  • Toes