Pseudo-Chilblains in a COVID-19 Patient

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Ricardo Moutinho-Guilherme - Corresponding Author

Ricardo Moutinho-Guilherme Alves Soares []
Rua Custódio Vieira, número 1C, bloco C, apartamento 7A, 1250-091 Lisboa, Portugal
ORCID iD: 0000-0001-6272-7684

Gisela Bessa


The aim of this case is to describe an example of cutaneous manifestations caused by COVID-19 infection, helping to better understand the disease and support an early clinical suspicion. This case addresses a 36-year-old patient with COVID-19 infection, symptomatic, with mild complaints. Seven days after the start of the clinic, she exhibited dermatological lesions in the acral areas bilaterally on her hands. The presence of erythematous-violet papules/vesicles was found in the dorsal extensor zones of the fingers, with local inflammatory signs, skin rash, flushing, edema, local burning sensation, itching and pain. Pseudo-chilblains were assumed as diagnostic hypotheses. She underwent symptomatic treatment, having achieved complete resolution at 10 days, with no subsequent sequelae.
Attention should be paid to the fact that COVID-19 may present only with cutaneous manifestations, therefore these may serve as an indicator of the disease in suspected cases.

Keywords: COVID-19/complications; Chilblains/etiology; SARS-CoV-2; Skin Manifestations

Article Details

Moutinho-Guilherme R, Bessa G. Pseudo-Chilblains in a COVID-19 Patient. Gaz Med [Internet]. 2021 Jun. 30 [cited 2023 Sep. 27];8(2). Available from: