{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T12:40:26Z","timestamp":1763037626266,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,6,7]],"date-time":"2021-06-07T00:00:00Z","timestamp":1623024000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Descriptions of cutaneous findings associated with COVID\u201019 have not been consistently accompanied by histopathology or confirmatory testing for SARS\u2010CoV\u20102.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe and classify the cutaneous findings with supporting histopathology of confirmed COVID\u201019 inpatients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We included consecutive inpatients with a confirmed diagnosis of COVID\u201019 for whom a dermatology consult was requested. A skin biopsy was performed in all cases. Skin findings were classified as being compatible with a cutaneous manifestation of COVID\u201019 or as representing a distinct clinical entity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010eight patients were studied in whom thirty\u2010one dermatologic diagnoses were made. Twenty\u2010two of the dermatoses were compatible with a cutaneous manifestation of COVID\u201019; nine entities were not associated with infection by SARS\u2010CoV\u20102. The most common COVID\u201019\u2010associated pattern was an exanthematous presentation. In four patients, a new pattern was observed, characterized by discrete papules with varied histopathological findings including a case of neutrophilic eccrine hidradenitis. No cases of pernio\u2010like lesions were identified. Skin findings not associated with COVID\u201019 represented 29% of diagnoses and included <jats:italic>Malassezia<\/jats:italic> folliculitis, tinea, miliaria and contact dermatitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Limitations<\/jats:title><jats:p>There is no gold\u2010standard test to distinguish between viral exanthems and drug reactions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A histopathological study is critical before attributing skin findings to a manifestation of COVID\u201019.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.17381","type":"journal-article","created":{"date-parts":[[2021,5,20]],"date-time":"2021-05-20T08:44:35Z","timestamp":1621500275000},"page":"1865-1873","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Not all that glitters is COVID\u201019: a case series demonstrating the need for histopathology when skin findings accompany SARS\u2010CoV\u20102 infection"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1368-585X","authenticated-orcid":false,"given":"A.","family":"Barrera\u2010God\u00ednez","sequence":"first","affiliation":[{"name":"Department of Dermatology Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"M\u00e9ndez\u2010Flores","sequence":"additional","affiliation":[{"name":"Department of Dermatology Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Gatica\u2010Torres","sequence":"additional","affiliation":[{"name":"Department of Dermatology Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n Mexico City 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