LAUSR

Since the emergence of COVID-19 infection in Spain, in the beginning of February 2020, the most populated regions, such as Madrid and Catalonia, have concentrated the highest case incidence. Suspect of COVID-19 is based on clinical signs comprising fever, cough, fatigue, ageusia, anosmia, myalgia and dyspnea. Laboratory alterations include lymphopenia, increased LDH, D Dimer, Ferritin and CRP. The diagnosis is based on virus detection in oropharyngeal swabs. Some rapid tests are available for seroconversion detection, for determination of specific IgM and IgG, but its use is still limited due to low availability, and uncompleted validation. Restricted measures have been performed in the Spanish population. Alarm state and general confinement in Spain started in March 14th and has not yet been finished. A number of dermatoses associated with covid-19 infection have already been described, including erythematous or purpuric rash in the trunk, urticarial and chickenpoxlike lesions. Acro-ischemic lesions have been reported in intensive care unit-admitted patients, due to disseminated intravascular coagulation (DIC) and clinically behaving as a dry gangrene. A case of acute acro-ischemic lesions in a child has recently been reported in Italy. During the first weeks of April, national and regional social media have reported a vast number of chilblain-like purpuric acral lesions in hands and feet, predominating in children, and up to date, accurate descriptions in the existing medical literature have been sparse. In Spain, reports of these lesions have been widespread in the territory, but they have been more frequently reported on the most pop-