An outbreak of acute hemorrhagic papules on the posterior neck in children during the COVID-19 pandemic

Allison Smith; Ingrid Polcari; Sheilagh Maguiness; Christina Boull

doi:10.1111/pde.14325

An outbreak of acute hemorrhagic papules on the posterior neck in children during the COVID-19 pandemic

Allison Smith, Ingrid Polcari, Sheilagh Maguiness, Christina Boull

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Within a two-week timespan in April 2020, multiple children presented with hemorrhagic macules, papules, and erosions localized to the posterior neck and occipital scalp. All of these patients were children of health care workers, with at least one confirmed COVID-19 exposure. The unique lesional morphology and the timing of onset led to SARS-CoV-2 antibody testing for all and biopsy of one child. Biopsy ultimately confirmed these lesions were consistent with arthropod bites, which coincided with an unprecedented surge in local populations of Simulium tuberosum, a biting gnat.

Original language	English (US)
Pages (from-to)	1193-1194
Number of pages	2
Journal	Pediatric Dermatology
Volume	37
Issue number	6
Early online date	Sep 6 2020
DOIs	https://doi.org/10.1111/pde.14325
State	Published - Nov 1 2020

Bibliographical note

Keywords

dermatopathology
infection—viral
insect bite/bite reaction
pruritus

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Publisher link

10.1111/pde.14325

Find It

Find It at U of M Libraries

Cite this

@article{c79f793c7e0549948b47ef054a9fcb3e,

title = "An outbreak of acute hemorrhagic papules on the posterior neck in children during the COVID-19 pandemic",

abstract = "Within a two-week timespan in April 2020, multiple children presented with hemorrhagic macules, papules, and erosions localized to the posterior neck and occipital scalp. All of these patients were children of health care workers, with at least one confirmed COVID-19 exposure. The unique lesional morphology and the timing of onset led to SARS-CoV-2 antibody testing for all and biopsy of one child. Biopsy ultimately confirmed these lesions were consistent with arthropod bites, which coincided with an unprecedented surge in local populations of Simulium tuberosum, a biting gnat.",

keywords = "dermatopathology, infection—viral, insect bite/bite reaction, pruritus",

author = "Allison Smith and Ingrid Polcari and Sheilagh Maguiness and Christina Boull",

note = "{\textcopyright} 2020 Wiley Periodicals LLC.",

year = "2020",

month = nov,

day = "1",

doi = "10.1111/pde.14325",

language = "English (US)",

volume = "37",

pages = "1193--1194",

journal = "Pediatric Dermatology",

issn = "0736-8046",

publisher = "John Wiley and Sons Inc.",

number = "6",

}

TY - JOUR

T1 - An outbreak of acute hemorrhagic papules on the posterior neck in children during the COVID-19 pandemic

AU - Smith, Allison

AU - Polcari, Ingrid

AU - Maguiness, Sheilagh

AU - Boull, Christina

PY - 2020/11/1

Y1 - 2020/11/1

N2 - Within a two-week timespan in April 2020, multiple children presented with hemorrhagic macules, papules, and erosions localized to the posterior neck and occipital scalp. All of these patients were children of health care workers, with at least one confirmed COVID-19 exposure. The unique lesional morphology and the timing of onset led to SARS-CoV-2 antibody testing for all and biopsy of one child. Biopsy ultimately confirmed these lesions were consistent with arthropod bites, which coincided with an unprecedented surge in local populations of Simulium tuberosum, a biting gnat.

AB - Within a two-week timespan in April 2020, multiple children presented with hemorrhagic macules, papules, and erosions localized to the posterior neck and occipital scalp. All of these patients were children of health care workers, with at least one confirmed COVID-19 exposure. The unique lesional morphology and the timing of onset led to SARS-CoV-2 antibody testing for all and biopsy of one child. Biopsy ultimately confirmed these lesions were consistent with arthropod bites, which coincided with an unprecedented surge in local populations of Simulium tuberosum, a biting gnat.

KW - dermatopathology

KW - infection—viral

KW - insect bite/bite reaction

KW - pruritus

UR - http://www.scopus.com/inward/record.url?scp=85090209643&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85090209643&partnerID=8YFLogxK

U2 - 10.1111/pde.14325

DO - 10.1111/pde.14325

M3 - Article

C2 - 32892396

AN - SCOPUS:85090209643

SN - 0736-8046

VL - 37

SP - 1193

EP - 1194

JO - Pediatric Dermatology

JF - Pediatric Dermatology

IS - 6

ER -

An outbreak of acute hemorrhagic papules on the posterior neck in children during the COVID-19 pandemic

Abstract

Bibliographical note

Keywords

UN SDGs

Publisher link

Find It

Other files and links

Fingerprint

Cite this