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Acute acral eruptions in children during the COVID-19 pandemic: Characteristics of 103 children and their family clusters - 07/05/21

Doi : 10.1016/j.annder.2020.11.005 
T. Hubiche a, 1, A. Phan b, 1, S. Leducq c, d, J. Rapp a, L. Fertitta e, H. Aubert f, S. Barbarot f, C. Chiaverini a, B. Giraudeau c, g, A. Lasek h, S. Mallet i, A. Labarelle i, M. Piram j, C. McCuaig j, L. Martin k, L. Monitor l, I. Nicol i, M. Bissuel m, A. Bellissen i, D. Jullien n, C. Lesort n, P. Vabres o, A. Maruani c, d, g,
For the

Research Group of the Société Française de Dermatologie Pédiatrique (French Society of Pediatric Dermatology)

a Nice University Hospital, Department of Dermatology, 06000 Nice, France 
b Lyon University Hospital, Department of Pediatric Dermatology, Hospices Civils de Lyon, 69500 Bron, France 
c Universities of Tours and Nantes, inserm 1246–SPHERE, 37000 Tours, France 
d Tours University Hospital, Department of Dermatology, 37044 Tours Cedex 9, France 
e AP-HP (Paris Hospitals), Paris-Necker Hospital, Department of Dermatology, 75015 Paris, France 
f Nantes University Hospital, Department of Dermatology, 44000 Nantes, France 
g Tours University Hospital, Clinical Investigation Center-INSERM 1415, 37000 Tours, France 
h Saint Vincent de Paul Hospital, Université catholique de Lille, 59000 Lille, France 
i Marseille University Hospital, Department of Dermatology, 13000 Marseille, France 
j Sainte-Justine University Hospital, Division of Dermatology, Montreal, Quebec, Canada 
k Angers Hospital University, Department of Dermatology, 49000 Angers, France 
l Nancy University Hospital, Department of Dermatology, 54511 Vandœuvre-lès-Nancy, France 
m Casamance Private Hospital, Department of Pediatrics, 13400 Aubagnes, France 
n Lyon University Hospital, Department of Dermatology, Hospital Edouard Herriot, 69003 Lyon, France 
o Dijon University Hospital, Department of Dermatology, 21000 Dijon, France 

Corresponding author at: CHRU de Tours, Service de Dermatologie, Unité de Dermatologie Pédiatrique, Hôpital Gatien de Clocheville, 39, boulevard Béranger, 37000 Tours, France.CHRU de Tours, Service de Dermatologie, Unité de Dermatologie Pédiatrique, Hôpital Gatien de Clocheville39, boulevard BérangerTours37000France

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Abstract

Background

A marked increase in frequency of acute acral eruptions (AAE) was observed in children during the COVID-19 pandemic in the spring period.

Objectives

In this observational multicenter study, based on children with AAE, we aimed to assess the proportion of household members possibly infected by SARS-CoV-2.

Methods

We collected data from all children observed with AAE, prospectively from April 7, 2020 to June 22, 2020, and retrospectively since February 28, 2020. The primary outcome was the household infection rate, defined as the proportion of family clusters having at least one member with COVID-19 infection other than the child with AAE (“index child”). The definition of a case was based on characteristic clinical signs and a positive PCR or serology.

Results

The study included 103 children in 10 French departments and in Quebec. The median age was 13 years and the interquartile range [8–15], with a female-to-male ratio of 1/1.15. In children with AAE, all PCR tests were negative (n=18), and serology was positive in 2/14 (14.3%) cases. We found no significant anomalies in the lab results. A total of 66 of the 103 families (64.1%) of included children had at least one other infected member apart from the index child. The total number of household members was 292, of whom 119 (40.8%) were considered possibly infected by SARS-CoV-2. No index children or households exhibited severe COVID-19.

Discussion

Among the 103 households included, 64.1% had at least one infected member. Neither children with AAE nor their households showed severe COVID-19.

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Keywords : COVID-19, Chilblains, Acral erythema, Children, Familial transmission.


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© 2021  Publié par Elsevier Masson SAS.
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Vol 148 - N° 2

P. 94-100 - juin 2021 Retour au numéro
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