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.

Original article:

Health professionals are seeing more frequent skin manifestations on the toes and fingers of COVID-19 patients. From a clinical point of view, this symptom manifests itself as blueish-red, purple bumps on the toes or fingers associated with pain and warmth to touch. This mainly affects the younger population and appears prior to other COVID-19 manifestations, or can be the only symptom. Physicians say that it looks like pernio.

“For people who have these lesions, even without pulmonary symptoms, it is probably a reasonable idea to self-isolate,”

ー Dr. Ebbing Lautenbach, chief of infectious disease at the University of Pennsylvania’s School of Medicine

Brooklyn Neustaeter. What are ‘COVID toes’? Doctors discover new symptoms of possible infection. CTV News. April 22, 2020.

Original article: