Intended for healthcare professionals


Covid-19 associated chilblain-like lesions in an asymptomatic doctor

BMJ 2020; 370 doi: (Published 22 July 2020) Cite this as: BMJ 2020;370:m2245
  1. Sofia Hadjieconomou, specialist training year 4 in dermatology,
  2. Jenny Hughes, consultant dermatologist
  1. Department of Dermatology, Princess of Wales Hospital, Bridgend, South Wales, UK
  1. Correspondence to: S Hadjieconomou Sofia.hadjieconomou{at}

These (fig 1) are chilblain-like lesions in a woman in her late 20s.

She presented with a two week history of burning and itching of her fingers and toes, with erythematous and purple papules. Erosions were present on her fingers, and nail fold telangiectasia was seen.

Her symptoms started two days before covid-19 had been diagnosed in her partner. She did not fulfil the criteria for covid-19 testing at the time of presentation. She was otherwise well with no other symptoms.

Chilblain-like lesions are a recognised sequela of covid-19 found to affect younger (mean age 32.5 years in published cases) and often otherwise asymptomatic patients.1

Chilblains normally occur as a reaction to cold wet weather, whereas chilblain-like lesions are attributed to inflammatory or embolic microvascular occlusion. Presence of these lesions should prompt testing for covid-19.


  • Patient consent obtained.

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