Auricle perniosis as a manifestation of Covid-19 infection

Several cutaneous manifestations of Covid-19 infection have been described in literature being mostly erhytematous, morbilliform, varicelliform, petechial, and urticarial rashes.1,2 Furthermore, an outbreak of hands and foot chilblain-like lesions in young patients has been reported in Italy during Covid-19 pandemic.3 They are described as erhytemato-edematous red-purple papules that can evolve either in hemorrhagic blisters or in black crusts.4 In particular, Piccolo et al3 analyzed 63 patients with perniotic lesions: pharyngeal swab was performed in 11 patients and it was positive only in two of them. Mazzotta et al4 studied a few dozens of patients with chilblain-like lesions: only two of them were screened for Covid-19 and resulted positive