Table 1.
Cutaneous manifestation | Number of patients | Age (years) | Sex | Country | Localization of the skin lesions | Dermatological symptoms | Phase of COVID-19 in which skin lesions appeared | Clinical course of the skin lesions | Taking any medication before the appearance of skin lesions | Method of COVID-19 diagnosis |
---|---|---|---|---|---|---|---|---|---|---|
Maculopapular rash | 14 [6] | N/M | N/M | Italy | Mainly trunk | Mild itching or asymptomatic | Active phase | Resolved few days later | N/M | All cases were confirmed by PCR. |
1 [11] | 64 | F | France | Trunk & flexors | N/M | Active phase | Resolved 5 days later without any treatment | Paracetamol for 4 days (but the cutaneous lesions disappeared despite the drug was not discontinued) | PCR | |
1 [12] | 59 | F | Italy | Trunk & limbs | N/M | Active phase in ICU | Resolved 5 days later without any treatment | N/M | PCR | |
1 [12] | 89 | F | Italy | Trunk & limbs | N/M | Active phase in ICU | Resolved 8 days later without any treatment | N/M | PCR | |
1 [12] | 57 | M | Italy | Generalized | Itching | Prodromal phase | Reduced 10 days later, after taking levofloxacin and hydroxychloroquine | N/M | PCR | |
2 [13] | N/M | N/M | France | Face & upper body | Itching | Active phase | Resolved a few days later | N/M | Both cases were confirmed by PCR. | |
1 [14] | 58 | M | USA | Trunk & extremities | Itching | Active phase | Began to improve 3 days later without any treatment | Azithromycin+benzonatate | PCR | |
1 [15] | 20 | M | USA | Generalized, sparing the face | N/M | Active phase | N/M | N/M | PCR | |
1 [16] | 6 | M | Thailand | Generalized | Itching | Active phase | Resolved 5 days later without any treatment | No medication | PCR | |
1 [9] | 57 | F | France | Trunk & limbs | Asymptomatic except for burning sensation of palms | Active phase | Resolved 9 days later without any treatment | Paracetamol | PCR | |
176 [17] | Mean age: 55.3 | F: 98 M: 78 |
Spain | N/M | Asymptomatic: 64 Pain: 4 Burning: 9 Itching: 99 |
Prodromal phase: 8 Active phase: 108 Convalescence phase: 60 |
Resolved few days later (mean: 8.6 days) | N/M | 122 cases were confirmed by PCR. Others were not tested. | |
Urticaria | 3 [6] | N/M | N/M | Italy | Mainly trunk | Mild itching or asymptomatic | Active phase | Resolved few days later | N/M | PCR |
1 [18] | 32 | F | Spain | Generalized | Itching | Active phase | Resolved 5 days later after taking antihistamines | Azithromycin+hydroquinone | N/M | |
1 [19] | 27 | F | France | Face & acral parts | Itching | Prodromal phase | Slow improvement after taking antihistamines | No medication | PCR | |
2 [6] | N/M | N/M | France | Face & upper body | Itching | Active phase: 1 Prodromal phase: 1 |
Resolved a few days later | N/M | Both cases were confirmed by PCR. | |
1 [20] | 71 | M | Belgium | Generalized | Asymptomatic | Active phase | Resolved a few days later after taking bilastine | No new medication | All cases were confirmed by PCR. | |
1 [20] | 39 | F | Belgium | Generalized | Itching | Active phase | Resolved a few days later after taking bilastine | No medication | N/M | |
1 [16] | 2 months | F | Thailand | Generalized except for palms & soles | Itching | Active phase | Resolved 9 days later without any treatment | No medication | PCR | |
1 [21] | 37 | F | Italy | Trunk, neck & face | Asymptomatic | Active phase (10th postpartum day) | Resolved 8 days later without any treatment | Acetaminophen | N/M | |
73 [17] | Mean age: 48.7 | F: 47 M: 26 |
Spain | N/M | Asymptomatic: 4 Pain: 1 Burning: 1 Itching: 67 |
Prodromal phase: 3 Active phase: 43 Convalescence phase: 25 |
Resolved few days later (mean: 12.7 days) | N/M | 49 cases were confirmed by PCR. Others were not tested. | |
Chilblain | 1 [22] | 27 | F | Kuwait | Dorsal aspect of fingers | Asymptomatic | Asymptomatic for COVID-19 | N/M | No medication/no exposure to cold | PCR |
1 [22] | 35 | F | Kuwait | Dorsal aspect of fingers | Asymptomatic | Asymptomatic for COVID-19 | N/M | No medication/no exposure to cold | PCR | |
3 [13] | 14-22 | N/M | France | Toes of both feet | Pain and burning | Asymptomatic for COVID-19 | N/M | No medication/no exposure to cold | Not tested | |
1 [15] | 28 | F | Spain | Both heels | Itching | Active phase | N/M | No medication/no exposure to cold | N/M | |
1 [23] | 26 | M | Italy | Both heels | Asymptomatic | Asymptomatic for COVID-19 | N/M | No medication/no exposure to cold | Not tested | |
1 [23] | 16 | F | Italy | Both heels | Asymptomatic | Asymptomatic for COVID-19 except for pharyngodynia 2 weeks ago | N/M | No medication/no exposure to cold | Not tested | |
1 [23] | 18 | F | Italy | Both heels & extensor surfaces of toes | Asymptomatic | Asymptomatic for COVID-19 | N/M | No medication/no exposure to cold | Not tested | |
1 [23] | 48 | M | Italy | Extensor surfaces of both heels | N/M | Active phase | N/M | No medication/no exposure to cold | Not tested | |
Vesicular rash | 22 [24] | Median age = 60 | M (16 cases) F (6 cases) |
Italy | All had truncal lesions ± involvement of extremities | Mild itching in 9 cases | Active phase | Resolved 4-15 days later | No medication | All cases were confirmed by PCR. |
1 [6] | N/M | N/M | Italy | Mainly trunk | N/M | Active phase | Resolved few days later | N/M | PCR | |
1 [25] | 8 | F | Italy | Trunk | Asymptomatic | Active phase | Resolved 7 days later without any treatment | No medication | PCR | |
2 [7] | N/M | N/M | Italy | Trunk (localized herpetiform) | Mild itching | Active phase | N/M | N/M | N/M | |
1 [7] | N/M | N/M | Spain | Back (localized herpetiform) | N/M | Active phase | N/M | N/M | N/M | |
34 [15] | Mean: 45.6 | F: 19 M: 15 |
Spain | N/M | Asymptomatic: 6 Pain: 3 Burning: 2 Itching: 23 |
Prodromal phase: 5 Active phase: 19 Convalescence phase: 10 |
Resolved few days later (mean: 9.3 days) | N/M | 17 cases were confirmed by PCR. Others were not tested. | |
Livedo reticularis | 1 [25] | 67 | M | USA | Anterior thigh | Asymptomatic | Active phase | Resolved 19 hours later without any treatment | N/M | PCR |
1 [25] | 47 | F | USA | Right lower limb | Asymptomatic | Convalescence phase | Resolved 20 minutes later without any treatment | No medication but appeared after sun exposure | PCR | |
21 [25] | Mean age: 63.1 | F: 10 M: 11 |
Spain | N/M | Asymptomatic: 15 Pain: 1 Burning: 2 Itching: 3 |
Prodromal phase: 1 Active phase: 18 Convalescence phase: 2 |
Resolved few days later (mean: 9.4 days) | N/M | 17 cases were confirmed by PCR. Others were not tested. | |
Petechiae | 1 [26] | N/M | N/M | Thailand | N/M | N/M | Prodromal phase | N/M | N/M | PCR |
1 [14] | 48 | M | Spain | Buttocks, popliteal fossa, proximal anterior thighs, lower abdomen | Itching | Active phase | Resolved 5 days later with 0.05% betamethasone cream+loratadine | No new medication | PCR |
M: male; F: female; N/M: not mentioned; PCR: polymerase chain reaction; ICU: intensive care unit.