Alternative diagnoses for such an eruption include varicella infection, which is unlikely based on prior infection, and insect bites, which are unlikely in the absence of pruritus.Įven though our data do not prove that this rash is caused by or definitively associated with COVID‐19, we suggest that papulovesicular eruptions be included in the spectrum of exanthems possibly associated with COVID‐19. Other skin manifestations and mucosal involvement as well as symptoms such as pruritus, pain, or burning were absent. In our patient, the latency time of the development of rash after cough's onset was three days and the exanthem duration was seven days. Herein, we describe this varicella‐like exanthem as a possible COVID‐19–associated skin manifestation in children. Two of the authors of the present paper (GG and AVM) have reported a series of 21 adult patients and one child (who is the case described here in detail) with COVID‐19 who developed a varicella‐like rash predominantly involving the trunk, including 7 cases in which histology was obtained and findings were compatible with viral infection. 2Ĭutaneous manifestations associated with COVID‐19 have been recently reported in adults by Joob and coworkers, 3 who described a patient from Thailand with a petechial rash initially misdiagnosed as dengue, and by Recalcati 4 who reported on hospitalized patients in Italy with erythematous rash (n = 14), widespread urticaria (n = 3), and varicella‐like vesicles (n = 1). 1 Loss of smell and taste has also been reported. 1 The illness is characterized by a wide list of clinical manifestations, ranging from respiratory symptoms such as dry cough and dyspnea to non‐respiratory symptoms including myalgia and diarrhea. COVID‐19, an infection due to SARS‐CoV‐2, arose in Wuhan (Hubei province), China, and quickly spread to Europe, becoming a public health emergency of global concern.
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