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Letter to the Editor
Chilblain and Acral Purpuric Lesions in COVID-19
Chilblain y lesiones purpúricas acrales en COVID-19
V. Wiwanitkit
Departamento de Medicina Comunitaria, DY Patil University, Pune, India
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">I would like to share ideas on the report on &#8220;Lesiones perni&#243;ticas y acrales en Espa&#241;a durante el confinamiento por COVID&#58; an&#225;lisis retrospectivo de 12 casos&#8221; with a great interest&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a> El Roman&#237; et al&#46; noted that <span class="elsevierStyleItalic">Como conclusi&#243;n&#44; este sorprendente cuadro cl&#237;nico es at&#237;pico porque ha aparecido durante el clima c&#225;lido&#44; no asociado con la perniosis com&#250;n y&#44; aunque tiene una relaci&#243;n temporal con la pandemia de COVID&#44; en ninguno de los pacientes hay evidencia demostrable de infecci&#243;n por COVID-19 actual o pasada</span>&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a> &#8220;Regarding the present report by Roman&#237; et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a> it should performed additional study to rule out other possible causes of skin lesion such as other concurrent virus infection&#46; In fact&#44; Chilblain and Acral Purpuric Lesions are new emerging dermatological conditions that are reported from many countries although there is a lack of report from tropical zone&#46;<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">2&#44;3</span></a> The new evidences show that there might be an association with COVID-19&#46; The identification of immunoglobulin to SARSCoV2 in some patients becomes the clue for further study on dermatopathophysiology of chilblain and acral purpuric lesions in COVID-19&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">4</span></a></p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Wiwanitkit V&#46; <span class="elsevierStyleItalic">Chilblain</span> y lesiones purp&#250;ricas acrales en COVID-19&#46; Actas Dermosifiliogr&#46; 2020&#59;111&#58;627&#46;</p>"
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                      "titulo" => "Chilblain and acral purpuric lesions in spain during COVID confinement&#58; retrospective analysis of 12 cases"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The American Academy of Dermatology COVID-19 Registry&#58; crowdsourcing dermatology in the age of COVID-19"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "E&#46;E&#46; Freeman"
                            1 => "D&#46;E&#46; McMahon"
                            2 => "J&#46;B&#46; Lipoff"
                            3 => "M&#46; Rosenbach"
                            4 => "C&#46; Kovarik"
                            5 => "J&#46; Takeshita"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chilblains-like Lesions and COVID-19"
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                        0 => array:2 [
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                            0 => "B&#46; Joob"
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                      "doi" => "10.1111/pde.14238"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A clinical&#44; histopathological and laboratory study of 19 consecutive Italian paediatric patients with chilblain-like lesions&#58; lights and shadows on the relationship with COVID-19 infection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
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                        "tituloSerie" => "J Eur Acad Dermatol Venereol"
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