• J Cutan Med Surg · Sep 2020

    Review

    Approach to Chilblains During the COVID-19 Pandemic [Formula: see text].

    • Malika A Ladha, Nadia Luca, Cora Constantinescu, Karen Naert, and Michele L Ramien.
    • 70401 Division of Dermatology, Department of Medicine, University of Calgary Cumming School of Medicine, AB, Canada.
    • J Cutan Med Surg. 2020 Sep 1; 24 (5): 504-517.

    AbstractCoronavirus disease (COVID-19) chilblains is a well-reported cutaneous pattern of severe acute respiratory syndrome coronavirus (SARS-CoV-2). Through this narrative review, we provide an evidence-based overview of idiopathic and secondary chilblains, distinguishing features of COVID-19 chilblains, and a systematic clinical approach to history, examination, investigations, and treatment. In the absence of cold or damp exposure, COVID-19 should be considered as a cause of acute chilblains. The timing of onset of COVID-19 chilblains relative to active SARS-CoV-2 viremia remains unclear. Patients with suspected COVID-19 chilblains should thus follow public health guidelines for COVID-19 testing and self-isolation.

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