Identification of Viral Particles in Infant Cutaneous Tissue in Cases of Covid Toes
- Author:
Kyungmin KIM
1
;
Seungjin SON
;
Tae-Jong KANG
;
Dongkyun HONG
;
Kyung Eun JUNG
;
Jin-Man KIM
;
Jung-Min SHIN
;
Jin PARK
;
Young LEE
Author Information
1. Department of Dermatology, Chungnam National University School of Medicine, Daejeon, Korea
- Publication Type:Case Report
- From:Korean Journal of Dermatology
2024;62(7):412-417
- CountryRepublic of Korea
- Language:English
-
Abstract:
Coronavirus disease 2019 (COVID-19), a multi-organ disease impacting the respiratory system and various organs, has recently been linked to diverse cutaneous manifestations. COVID toes, a cutaneous sign of COVID-19 infection, is relatively common in children and young adults, although its clear association with COVID-19 has not been widely reported. This report presents the case of a 1-year-old infant with COVID toes. The patient exhibited violaceous discoloration in the distal toes. Further, the patient exhibited no symptoms of COVID-19 infection and the enzyme-linked immunosorbent assay was negative for severe acute respiratory syndrome coronavirus 2(SARS-CoV-2); therefore, the patient was initially diagnosed with frostbite. However, the infant’s condition deteriorated despite treatment with nonsteroidal anti-inflammatory drugs and a warm-water bath. After a skin biopsy and serum SARS-CoV-2 test, the patient was diagnosed with COVID toes and treated with systemic steroids, photobiomodulation therapy, and dressing. This case underscores the importance of recognizing chilblain-like lesions in pediatric patients during the COVID-19 pandemic, emphasizing the need for awareness of COVID toes among healthcare professionals.
