The Canadian Paediatric Surveillance Program (CPSP) is warning doctors and parents that skin manifestations, looking like pernio, can be a common presentation among children, even without respiratory symptoms. These are blueish-red lesions that can be painful and warm. They affect mostly the top and the underside of the foot, the toes and can be accompanied by cracked or dry skin. Unfortunately, there is no specific treatment in these cases.
Doctors should therefore suspect COVID-19 when these manifestations occur, and report all cases of COVID-19 positive children with skin lesions to the CPSP.
Brooklyn Neustaeter. Pediatricians warned about ‘COVID toes’ in children infected with COVID-19. CTV News. April 27, 2020.