Cutaneous Manifestations of COVID-19 in Children: Practical Points for Clinicians

Abstract

: Coronavirus disease 2019 (COVID-19) in previously healthy children is more likely to be mild. However, COVID-19-related cutaneous manifestations in children can be categorized regarding their clinical manifestations. We searched PubMed, Google Scholar, and Scopus in this regard and examined all of the relevant papers published until June 28, 2021, with available full-texts. We found various mucocutaneous manifestations after COVID-19 infection and categorized them regarding their etiology: Induced directly by the virus itself or its immunologic response, treatment-related adverse events, post-vaccination rash, and lesions seen as an indirect consequence of the pandemic such as irritant dermatitis resulting from frequent hand washing or stress-induced worsening of some chronic dermatoses such as atopic dermatitis and psoriasis as a result of social isolation. Clinicians should be aware of these manifestations and advocate early isolation while encountering unexplained skin lesions to prevent infection from spreading.