Acute Acro-Ischemic Lesions in Children

1. These acro-ischemic lesions were seen in healthy children/adolescents.
2. They are mostly found on the toes, but also on the fingers and the plantar region. Generally, they do not affect all fingers and toes. 
3. The lesions are rounded, multiple and measure a few millimeters but sometimes they can cover the entire toe/finger with a clear demarcation at the metatarsophalangeal level. 
4. They have reddish-purple or bluish color at first, then they turn bullous or present blackish crusts.
5. They are painful and usually resolve in 2 weeks without leaving any scars.

This data comes from a case series of children from Italy with a suspicion of COVID-19 who presented acro-ischemic lesions.

Source

Mazzotta F., Troccoli T. (March 2020). ACUTE ACRO-ISCHEMIA IN THE CHILD AT THE TIME OF COVID-19. Dermatologia Pediatrica. https://img.beteve.cat/wp-content/uploads/2020/04/acroischemia-ENG.pdf