• Alexandra Rubin, Mahin Alamgir, Julia Rubin, and Babar K Rao.
• Center for Dermatology, Rutgers Robert Wood Johnson Medical School, Somerset, New Jersey, USA alirubin@rwjms.rutgers.edu.
• BMJ Case Rep. 2020 Nov 2; 13 (11).

AbstractA 27-year-old patient presented with acral chilblain-like lesions atypical of dermatological presentations appearing in current reports of COVID-19. Prominent bullae had formed on the dorsa of her toes and became haemorrhagic 2 days after the initial presentation. The patient had no underlying medical conditions, including any history of collagen vascular disease, Raynaud's phenomenon, chilblains or cold exposure, and was not taking any medications. The patient reported 10 days of ageusia and anosmia 6 weeks prior to the manifestation of her toe lesions, with no other symptoms. A nasopharyngeal swab test for SARS-CoV-2 RNA was positive. It is important that physicians recognise the myriad of cutaneous lesions associated with COVID-19 in this ongoing pandemic.© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.

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