Table 3.

Clinical presentation of pernio-like lesions in children^66,67,80,115, 116, 117

Lesion Location	Lesion Color	Primary Lesion Morphology	Secondary Lesion Features	Associated Symptoms	Extracutaneous Symptomsb
Toesa Feet Ankles Fingers Hands	Red Purple Brown Red-bluish Gray	Papules Macules Vesicles Bullae Patches Plaques	Edema Erosion Crust	None Pruritis Pain	Fever Cough Sore throat Nasal congestion Rhinorrhea Chills Diarrhea Abdominal pain Dyspnea Myalgia Weakness

^aIncluding nail involvement.

^bIf extracutaneous signs are present, they precede cutaneous findings more than half the time^59,80,117.