Chilblain-like lesions (COVID-19 toes) have the same impact on family members than psoriasis systemically treated: insights from a case-control study targeting the pediatric population

G. Damiani*, R. Finelli, K. Kridin, A. Pacifico, N. L. Bragazzi, P. Malagoli, G. Fabbrocini, E. Bonifazi, F. Mazzotta, C. Lovati, P. Savoia, L. C. Gironi, M. Morello, T. Davidson, A. Watad, F. Goker, C. Mortellaro, M. Del Fabbro

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: COVID-19 toes represent the main dermatological COVID-19 cutaneous manifestation in pediatric patients. Its diagnosis exposes the whole family to social stigma and this aspect was not previously evaluated. PATIENTS AND METHODS: This was a multicenter, case-control, observational study that compared the family impact of COVID-19 toes vs. psoriasis (PsO). We enrolled 46 pediatric patients (23 with psoriasis and 23 with COVID-19 toes, age and gender matched) and their parents/caregivers that had to fill the Dermatitis Family Impact (DFI) questionnaire. RESULTS: DFI index did not differ significantly between both subgroups (p=0.48), and in psoriatic patients did not correlate with both Psoriasis Area Severity Index (PASI) (p=0.59) and itch-VAS (p=0.16). CONCLUSIONS: COVID-19 toes, a transitory dermatosis, exerted a similar impact/perturbation on family dynamics than PsO, a well-known stigmatizing, chronic inflammatory dermatosis.

Original languageEnglish
Pages (from-to)87-93
Number of pages7
JournalEuropean Review for Medical and Pharmacological Sciences
Volume26
Issue number3
DOIs
StatePublished - 2022

Keywords

  • COVID-19 toes
  • Chilblain-like lesions
  • Dermatitis family impact
  • Pediatrics
  • Psoriasis

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