Evidence map›Paper›PMID 33972057›Full record

SynthesisClinics in dermatology

Pediatric COVID toes and fingers.

Merav Koschitzky, Ryan Rivera Oyola, Mary Lee-Wong, Brian Abittan, Nanette Silverberg

Abstract readSystematic Review
In one paragraph

Synthesis in Clinics in dermatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Lack of association between pandemic chilblains and SARS-CoV-2 infection.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. "COVID" Terminology in Dermatology.Indian journal of dermatology
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Merav KoschitzkyDepartment of Dermatology, Icahn School of Medicine at Mt Sinai, New York, New York.
Ryan Rivera OyolaDepartment of Dermatology, Icahn School of Medicine at Mt Sinai, New York, New York.
Mary Lee-WongDivision of Allergy and Clinical Immunology, Department of Medicine, Icahn School of Medicine at Mt Sinai, New York, New York.
Brian AbittanDepartment of Dermatology, Icahn School of Medicine at Mt Sinai, New York, New York.
Nanette SilverbergDepartment of Dermatology, Icahn School of Medicine at Mt Sinai, New York, New York; Department of Pediatrics, Icahn School of Medicine at Mt Sinai, New York, New York. Electronic address: nanette.silverberg@mountsinai.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The emergence of the coronavirus disease 2019 (COVID-19) worldwide pandemic has been associated with a new constellation of cutaneous features in children. Among the unusual dermatologic presentations are the so-called COVID toes, inflammatory nodules of the feet and toes, sometimes involving the hands and fingers. These lesions mimic acral pernio, the synonym being chilblains. Unlike adult patients with COVID toes, children are less likely to manifest symptomatic COVID-19. Although a few studies have found some linkage to COVID-19 through the serum IgA or IgG severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike protein, other studies have no demonstrable linkage suggesting that barefoot children in cold weather develop such lesions. It appears that the chilblain-like lesions related to the period of the COVID-19 pandemic may reflect a brisk immune response portending a good prognosis and perhaps some form of innate immunity. The possible need to screen for coagulopathy is unclear, but this has been suggested in one report. Until we fully understand the pattern of immune response to COVID-19, questions may persist as to how disease manifestations are linked to SARS-CoV-2 exposures.

Indexed as

AdolescentChilblainsChildChild, PreschoolCOVID-19FingersFoot DermatosesHand DermatosesHumansInfantInfant, NewbornSARS-CoV-2Toes

Identifiers

PMID33972057
PMCPMC7806462

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.