A new dermoscopic pattern for chilblain-COVID-19-like skin lesions in adolescents

Gabriella Fabbrocini, Maria Vastarella, Paola Nappa, Maria C Annunziata, Elisa Camela, Vincenzo Greco, Francesca Gaudiello, Maria Alessio, Luca Pierri, Andrea Catzola, Alfredo Guarino, Gabriella Fabbrocini, Maria Vastarella, Paola Nappa, Maria C Annunziata, Elisa Camela, Vincenzo Greco, Francesca Gaudiello, Maria Alessio, Luca Pierri, Andrea Catzola, Alfredo Guarino

No abstract available

Keywords: CLL, chilblain-like lesion; IFN-1, interferon type 1; chilblain-like lesions; dermoscopy; rosettes; white streaks.

Figures

Fig 1
Fig 1
CLL in the active phase of disease consisted of erythematous purpuric papules and macules, with bullous evolution with crust and digital swelling. CLL, Chilblain-like lesion.
Fig 2
Fig 2
CLL in the later stages appeared as blurred rosaceous erythematous maculae on the toes. CLL, Chilblain-like lesion.
Fig 3
Fig 3
The dermoscopic evaluation of the CLL in the active phase revealed (A) dotted and comma-shaped congested vessels (red circles), white rosettes (white circles), and white streaks (white arrows) and (B) white scales (blue arrows) and yellow serocrust (orange arrows). CLL, Chilblain-like lesion.
Fig 4
Fig 4
The dermoscopic evaluation of the CLL in the remission phase revealed red dots (red arrows) and blurred white rosettes (white circles). CLL, Chilblain-like lesion.
Fig 5
Fig 5
The lesion on a patient's right ankle revealed in a dermoscopic pattern, with a white crossed or annular line surrounded by red globular blood vessels at its periphery distributed in lines or rings, respectively, on an opaque erythematous background resembling “Wickham striae.”

References

    1. Docampo-Simón A., Sánchez-Pujol M.J., Juan-Carpena G. Are chilblain-like acral skin lesions really indicative of COVID-19? A prospective study and literature review. J Eur Acad Dermatol Venereol. 2020 doi: 10.1111/jdv.16665.
    1. Whitman P.A., Crane J.S. StatPearls Publishing; Treasure Island (FL): 2020. Pernio (Chilblains). StatPearls.
    1. Crowson A.N., Magro C.M. Idiopathic perniosis and its mimics: a clinical and histological study of 38 cases. Hum Pathol. 1997;28(4):478–484.
    1. Errichetti E., Zalaudek I., Kittler H. Standardization of dermoscopic terminology and basic dermoscopic parameters to evaluate in general dermatology (non-neoplastic dermatoses): an expert consensus on behalf of the International Dermoscopy Society. Br J Dermatol. 2020;182(2):454–467.
    1. Wang M.L., Chan M.P. Comparative analysis of chilblain lupus erythematosus and idiopathic perniosis: histopathologic features and immunohistochemistry for CD123 and CD30. Am J Dermatopathol. 2018;40(4):265–271.
    1. Andina D., Noguera-Morel L., Bascuas-Arribas M. Chilblains in children in the setting of COVID-19 pandemic. Pediatr Dermatol. 2020;37(3):406–411.
    1. Haspeslagh M., Noë M., De Wispelaere I. Rosettes and other white shiny structures in polarized dermoscopy: histological correlate and optical explanation. J Eur Acad Dermatol Venereol. 2016;30(2):311–313.
    1. Sgouros D., Apalla Z., Ioannides D. Dermoscopy of common inflammatory disorders. Dermatol Clin. 2018;36(4):359–368.
    1. Kolivras A., Dehavay F., Delplace D. Coronavirus (COVID-19) infection-induced chilblains: a case report with histopathologic findings. JAAD Case Rep. 2020;6(6):489–492.
    1. Mohan V., Lind R. Chilblains in COVID-19 infection. Cureus. 2020;12(7):e9245.

Source: PubMed

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