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Gironi LC, Guala A, Zottarelli F, Graziola F, Zavattaro E, Esposto E, Damiani G, Savoia P. Telemedicine Evaluation of Pediatric Acral Dermatitis in COVID-19 Era: A Real-Life Experience on COVID-19 Toes Versus Pool Palms and Review of the Literature on Juvenile Palmar Dermatitis. Dermatol Pract Concept 2023; 13:dpc.1301a52. [PMID: 36892347 PMCID: PMC9946093 DOI: 10.5826/dpc.1301a52] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/24/2022] [Indexed: 02/04/2023] Open
Abstract
Introduction: SARS-CoV-2 infection is associated with different cutaneous manifestations, including chilblain-like lesions (“COVID-19 toes”), more frequently observed in younger patients. During the current COVID-19 pandemic, pediatric teledermatology has increased considerably since it allows to assist even children quarantined or living in distant geographic locations, also reducing long waiting times. Nonetheless, the correct clinical interpretation of skin lesions suspicious for being related to COVID19 represent a challenge for the dermatologist; in fact, many cutaneous diseases of both infectious and non-infectious origin, like pool palms (also known as “juvenile palmar dermatitis of swimming pools”), can simulate COVID-19 toes.
Objectives: to report a telemedicine-assisted experience on outpatient pediatric cases affected by acral dermatitis during the current COVID-19 outbreak, highlighting a possible underdiagnosed differential diagnosis.
Methods: We included 6pediatric cases, affected by acral acute dermatitis, for which, due to the ongoing pandemic, it was impracticable to conduct a face-to-face visit. We collected clinical data and high resolution images of skin lesions, which were independently examined by three different dermatologists.
Results: We described the first three pediatric cases of pool palms reported in the COVID-era, comparing the clinical characteristics of three other pediatric patients affected by COVID-19 toes. We also performed a literature review of all pool palms cases published to date. Conclusions: Our real-life experience highlights the crucial rule of teledermatology during the ongoing pandemic. Furthermore, the paper emphasizes its criticalities, mainly related to the difficult collection of anamnestic data.
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Affiliation(s)
| | - Andrea Guala
- Department of Pediatrics, Castelli Hospital, Verbania, Italy
| | | | | | | | - Elia Esposto
- AOU Maggiore della Carità di Novara, Novara, Italy
| | - Giovanni Damiani
- Clinical Dermatology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.,Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy
| | - Paola Savoia
- Department of Health Sciences, University of Eastern Piedmont, Novara, Italy
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Andina Martínez D, Vinagre Enríquez S, Molina Cabañero JC. [Palmar pulpitis as an isolated expression of SARS-CoV-2 infection]. Aten Primaria 2021; 53:101955. [PMID: 33384194 PMCID: PMC7837288 DOI: 10.1016/j.aprim.2020.08.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Accepted: 08/06/2020] [Indexed: 01/07/2023] Open
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Knöpfel N, Steiner B, Schwieger-Briel A. Reddened palms. Pediatr Dermatol 2020; 37:732-733. [PMID: 32706465 DOI: 10.1111/pde.14193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Accepted: 04/11/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Nicole Knöpfel
- Pediatric Skin Center, Department of Dermatology, University Children's Hospital Zurich, Zurich, Switzerland
| | - Bernhard Steiner
- Department of Pediatrics, Chinderdökter Wolhusen Clinic, Wolhusen, Switzerland
| | - Agnes Schwieger-Briel
- Pediatric Skin Center, Department of Dermatology, University Children's Hospital Zurich, Zurich, Switzerland
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Morgado-Carrasco D, Feola H, Vargas-Mora P. Pool Palms. Dermatol Pract Concept 2020; 10:e2020009. [PMID: 31921496 DOI: 10.5826/dpc.1001a09] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/03/2019] [Indexed: 10/31/2022] Open
Affiliation(s)
| | - Hernán Feola
- Department of Dermatology, Hospital San Juan de Dios, La Plata, Argentina
| | - Pablo Vargas-Mora
- Department of Dermatology, Faculty of Medicine, Universidad de Chile, Santiago, Chile
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