Conflict of interest: the authors declare that they have no conflicts of interest.

Summary. COVID‐19 is an infectious disease caused by severe acute respiratory coronavirus 2 (SARS‐CoV‐2). Vesicular skin rashes have been reported as associated

We have read with great interest the article: Cutaneous manifestations in COVID‐19: a first perspective by Recalcati S.¹ This article is the first report of the cutaneous manifestations in Coronavirus Disease 2019 (COVID‐19) patients during the severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) pandemic in Lombardy, Italy.

The coronavirus disease 2019 (COVID‐19) has been associated to a wide clinical spectrum of skin manifestations, including chilblain‐like, urticarial, vesicular, maculopapular, livedoid and vasculitic lesions, among others^1,2. However, the exact pathophysiology for the appearance of skin lesions is still unknown. Several hypotheses have been suggested, including viral hypersensitivity reactions, overexpression of type I interferons, COVID‐19 induced coagulopathy, thrombotic microangiopathy and direct viral damage^3–6.