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Dermatology and COVID-19

Educational Objective
To understand how dermatology can assist in detecting and managing COVID-19
1 Credit CME

Even early in the coronavirus disease 2019 (COVID-19) pandemic, it was clear that dermatologists had an important role in the management of patients. Although initial case series rarely documented skin changes, possibly due to the inability to perform a complete skin examination, subsequent research has suggested significantly higher rates of skin involvement.1 The true prevalence of skin findings, the uncertainty of whether these represented direct infection or were associated with systemic illness (eg, reactive or due to medications), and how best to manage them were among the many questions challenging the evolving understanding of these cutaneous manifestations. This has been an important opportunity for dermatologists to learn and contribute.2 What are the current priorities in dermatology research and clinical care as the COVID-19 pandemic progresses?

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Article Information

Corresponding Author: Kanade Shinkai, MD, PhD, Department of Dermatology, University of Calfornia, San Francisco, 1701 Divisadero St, San Francisco, CA 94115 (kanade.shinkai@jamanetwork.org).

Conflict of Interest Disclosures: None reported.

References
1.
Galván Casas  C , Català  A , Carretero Hernández  G ,  et al.  Classification of the cutaneous manifestations of COVID-19: a rapid prospective nationwide consensus study in Spain with 375 cases.   Br J Dermatol. 2020;183(1):71-77. doi:10.1111/bjd.19163PubMedGoogle ScholarCrossref
2.
Madigan  LM , Micheletti  RG , Shinkai  K .  How dermatologists can learn and contribute at the leading edge of the COVID-19 global pandemic.   JAMA Dermatol. 2020;156(7):733-734. doi:10.1001/jamadermatol.2020.1438PubMedGoogle ScholarCrossref
3.
Lester  JC , Lia  JL , Zhang  L , Okoye  GA , Linos  E .  Absence of images of skin of colour in publications of COVID-19 skin manifestations.   Br J Derm. Published online May 29, 2020. doi:10.1111/bjd.19258Google Scholar
4.
Droesch  C , Hoang  M , DeSancho  M , Lee  E-J , Magro  C , Harp  J .  Livedoid and purpuric skin eruptions associated with coagulopathy in severe COVID-19.   JAMA Dermatol. Published online August 5, 2020. doi:10.1001/jamadermatol.2020.2800Google Scholar
5.
Whittaker  E , Bamford  A , Kenny  J ,  et al; PIMS-TS Study Group and EUCLIDS and PERFORM Consortia.  Clinical characteristics of 58 children with a pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2.   JAMA. 2020;324(3):259-269. doi:10.1001/jama.2020.10369PubMedGoogle ScholarCrossref
6.
Roca-Ginés  J , Torres-Navarro  I , Sánchez-Arráez  J ,  et al.  Assessment of acute acral lesions in a case series of children and adolescents during the COVID-19 pandemic.   JAMA Dermatol. Published online June 25, 2020. doi:10.1001/jamadermatol.2020.2340PubMedGoogle Scholar
7.
Barbieri  JS , Frieden  IJ , Nagler  AR .  Isotretinoin, patient saety, and patient-centered care: time to reform iPledge.   JAMA Dermatol. 2020;156(1):21-22. doi:10.1001/jamadermatol.2019.3270Google ScholarCrossref
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