Oral and cutaneous manifestations of covid-19 in pediatric patients

Moraes, Mayara Faria de; Natalino, Yasmim dos Reis; Holanda, Andressa Feller; Sobrinho, Hellen Ferreira de Souza; Sarmento, Lilian Citty; Gomes, Ana Paula Martins; Sanglard, Luciana Faria

doi:10.1590/1981-86372021000520200136

Cited by 4 publications

(3 citation statements)

References 33 publications

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“…At the beginning of the pandemic, COVID-19 was more prevalent in adults; however, children also presented the infection as it progressed across continents. This study indicates that the severity of the infection proved to be associated with the presence of oral lesions, as reported by Lai et al 15 The data obtained from the medical records corroborate the findings of Moraes et al, 16 indicating that the children's health conditions may develop into severe respiratory implications. There are reports that children with comorbidities are more prone to be infected by SARS-CoV-2.…”

Section: Discussionsupporting

confidence: 90%

Oral manifestations in hospitalized children with COVID-19

et al. 2022

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As the pandemic progressed, the incidence of viruses among children also increased. This study investigates the presence of oral lesions in hospitalized children by analyzing data collected from medical records of infants seen at the pediatric Infectious disease unit at the General Hospital of the University of Pernambuco, Recife, Brazil, from March to August 2020. This study includes children aged 0 to 12 years diagnosed with severe symptoms of COVID-19. The data describe the frequencies and percentages of categorical variables, expressed as mean, median, and standard deviation. The chi-square test evaluated the association of oral manifestations according to the presence of comorbidities. Of 89 children, 20.2% had oral manifestations, and mucositis was the most prevalent lesion (12.4%). Of the 18 children with oral manifestations, 12 did not present comorbidities, but 7.9% had multisystem inflammatory syndrome and 5.6% had Kawasaki disease. Results show that children with oral lesions had longer hospital stays. These findings indicate the need for further studies to clarify the relationship between the oral manifestations of COVID-19 in pediatric patients for screening of the virus by dentists.

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Section: Discussionsupporting

confidence: 90%

Oral manifestations in hospitalized children with COVID-19

et al. 2022

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“…Em uma comparação entre homens e mulheres, mudanças de gosto eram mais comuns entre as mulheres, porém sem diferença estatística significativa (Biadsee et al, 2020). As manifestações bucais e cutâneas mais citadas em outro estudo foram, respectivamente, a disfunção gustativa em adolescentes e a erupção eritematosa em extremidades e tronco (Moraes et al, 2021).…”

Section: Mudanças No Olfato E Paladarunclassified

Associação entre a infecção pelo SARS-CoV-2 e o aparecimento de manifestações orais: uma revisão sistemática

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Franco

et al. 2022

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O objetivo desta revisão sistemática qualitativa é estabelecer a relações entre a infecção pelo SARS-CoV-2 e o aparecimento de manifestações bucais. Os resultados foram obtidos após extensa pesquisa e revisão de artigos atualmente publicados sobre o tema em questão. Estudos apontam que a mucosa da cavidade oral pode ser uma rota de alto risco para a infecção pelo SARS-CoV-2, levantando a hipótese de que lesões podem se desenvolver na cavidade bucal em decorrência da infecção pelo vírus. As alterações mais comumente relatadas são os distúrbios do paladar, como disgeusia, hipogeusia e ageusia. Lesões de mucosa, como úlceras, erosões, mucosites, bolhas, máculas e placas, também foram encontradas em pacientes acometidos, variando em quantidade, aparência de cor e localização. Sensação de boca seca, alterações na ATM e infecções virais e fúngicas oportunistas foram relatadas em alguns casos. No entanto, ainda não está clara a relação direta de causa e efeito entre a infecção pelo SARS-CoV-2 e o aparecimento de lesões na cavidade bucal. Autores defendem que o estado geral de imunossupressão, estresse e/ou alterações vasculares, inerentes à doença COVID-19, podem explicar o aparecimento dessas lesões. É evidente, portanto, que existe uma relação entre COVID-19 e o desenvolvimento de lesões bucais, porém mais estudos são necessários para entender a patogenia dessas alterações.

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“…Hence, most of the clinical information and guidelines are derived from this population ( 7 ), leaving its most frequent form of presentation in the pediatric population yet to be fully elucidated ( 2 ). Infections with SARS-CoV-2 in children have been described with higher proportion of asymptomatic cases, a faster recovery, and a better prognosis compared to infections in adults ( 8 ) and are usually characterized by milder and nonspecific symptoms ( 9 ). Additionally, most pediatric cases require only outpatient management ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

Clinical and epidemiological characteristics of SARS-CoV-2 virus in ambulatory children under 2 years old

et al. 2022

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BackgroundSARS-CoV-2 is an emerging virus that has mainly affected adults; hence, most clinical information has been derived from that population. Most pediatric cases are mild and with nonspecific symptoms requiring outpatient management. Children are a major source of spread for most traditional respiratory viruses. Their role in SARS-CoV-2 transmission was thought to be relevant. Children under the age of two comprise a group that is more susceptible to infection since vaccines have not been approved for them until recently. The knowledge of clinical manifestation of COVID-19 in young children is scarce.ObjectivesTo describe the clinical, epidemiological, and demographic characteristics of children under 2 years old with confirmed COVID-19, who did not require hospitalization.MethodsThis descriptive study was performed from May, 2020 to June, 2021. Children ages 0–2 years with COVID-19, confirmed by transcriptase-polymerase chain reaction assay that were performed in laboratories of the Red de Salud UC CHRISTUS Health Network, were selected to be contacted. If the parents accepted participating and their children were not hospitalized, a survey was sent to the patients' caregivers.ResultsOf the 242 cases, 159 caregivers answered the survey (65.7%). The median age of the subjects was 14 months, and 53.5% were males. Fifty percent had comorbidities, of which one third corresponded to atopy. Ninety eight percent were secondary cases. Most of them were infected within their households (81%). The most frequent sources were their parents, followed by their grandparents. The most common symptom was fever (78%) followed by irritability (67.3%), rhinorrhea (66%), and fatigue (64.8%). Infants less than 6 months old more often presented with conjunctival congestion and less loss of appetite compared to older children (p < 0.05).ConclusionsThis study provides valuable insights regarding COVID-19 in ambulatory young children. Most cases of SARS-CoV-2 infection in children under 2 years old do not require hospitalization. There was a slight male predominance, and the majority had been infected within their households. SARS-CoV-2 infection should be suspected in children under 2 years old presenting with fever, irritability, fatigue, and rhinorrhea. Children with positive household contacts and fever should also be tested for COVID-19.

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Oral and cutaneous manifestations of covid-19 in pediatric patients

Cited by 4 publications

References 33 publications

Oral manifestations in hospitalized children with COVID-19

Oral manifestations in hospitalized children with COVID-19

Associação entre a infecção pelo SARS-CoV-2 e o aparecimento de manifestações orais: uma revisão sistemática

Clinical and epidemiological characteristics of SARS-CoV-2 virus in ambulatory children under 2 years old

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