Background Cutaneous reactions after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccines are poorly characterized. Objective To describe and classify cutaneous reactions after SARS-CoV-2 vaccination. Methods A nationwide Spanish cross-sectional study was conducted. We included patients with cutaneous reactions within 21 days of any dose of the approved vaccines at the time of the study. After a face-to-face visit with a dermatologist, information on cutaneous reactions was collected via an online professional

Background To describe the cutaneous acral findings in a pediatric population noticed during this pandemic. Methods A retrospective descriptive study was performed collecting data on 36 patients under 14 years old, presenting suspicious acral skin manifestations for coronavirus disease 2019 (COVID-19). Results Patients were mostly male (63.8%). The mean age was 11.11 years. 66.67% of patients showed erythematous papules, and 44.44% purpuric macules. Feet were affected in 97.22% of patients and hands in 5.55%. Lesions were asymptomatic in 50% of patients. 30.55% of patients showed extracutaneous findings, preceding skin lesions in 12.62 days. Seven patients underwent specific severe acute coronavirus 2 (SARS-CoV-2) testing; all of these patients tested negative. Conclusions The association between these symptoms and SARS-CoV-2 remains unclear. We recommend using these manifestations as a sign of SARS-CoV-2 infection in children. This could lead to the examination of asymptomatic and mildly symptomatic children so that contagions may be avoided.

No abstract

An 11-year-old Caucasian boy with good general health and normal development presented for evaluation of a congenital nevus on his leg. The physician noted that he had an unusual appearance, including bitemporal scars resembling forceps marks. The mother told us that he had had linear scar-like depressions on both temples since birth. Furthermore, the pregnancy and birth had been normal, and the delivery had not required the use of forceps or other instruments. The parents were healthy and the patient was normal, except for mild strabismus and hypermetropia. Examination revealed bilateral, hyperpigmented, depressed, sharply demarcated atrophic areas on the temples (Fig. 1). The other clinical manifestations were low frontal hairline, dense eyebrows, thick lips, long upper and lower eyelashes and a bulbous nose (Fig. 2).No other cranial or extracranial disorders were observed. Examination of his maternal grandmother revealed that she had similar scar-like lesions on both temples (Fig. 3). Histologic examination of a 3 mm punch biopsy specimen from a lesion on his right temple showed a thinned epidermis and dermis without skin appendages. Little elastic tissue was found in the dermis. Results of routine laboratory studies were within normal limits.

No abstract