Skin, Mucosa and Nail Findings in Hospitalized Pediatric Patients With COVID-19

    Tunç Özen, Filiz Cebeci, Sevliya Öcal Demir, Hüsnü Fahri Ovalı
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    TLDR Many hospitalized children with COVID-19 had skin, mouth, or nail changes, with skin rashes being common.
    This prospective study involved 46 hospitalized pediatric patients with COVID-19, and found that 41.3% of them displayed skin, mucosal, or nail changes. The most common skin finding was periorbital erythema and edema, seen in 23.9% of patients. Oral mucosal findings were present in 22% of patients, and hair and nail changes were observed in a few cases, including one case of telogen effluvium. Additionally, 19.5% of patients developed Multisystem Inflammatory Syndrome in Children (MIS-C), with 88.8% of these showing mucocutaneous manifestations. The study concluded that pediatric COVID-19 patients are more likely to develop mucocutaneous manifestations than adults, and that COVID-19 should be considered as a cause of viral exanthem rashes in children.
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