key: cord-276147-30buoweg authors: Avancini, Joao; Miyamoto, Denise; Arnone, Marcelo; Villas-Boas Gabbi, Tatiana; Ferreira, Paula Silva; Neta, Cyro Festa; Sanches, Jose Antonio title: Absence of specific cutaneous manifestations of SARS-Cov-2 in a reference center in Brazil date: 2020-09-15 journal: J Am Acad Dermatol DOI: 10.1016/j.jaad.2020.09.030 sha: doc_id: 276147 cord_uid: 30buoweg nan Contents of the manuscript have not been previously published and are not currently submitted elsewhere. I accept responsibility for the scientific integrity of the work described in this manuscript. All listed authors have seen and approved of the manuscript and will sign off on any subsequent manuscript revisions. J o u r n a l P r e -p r o o f (Clean version) To the editor: We read with interest the letters from the New York City report regarding the absence of COVID toes lesions on their patients and the recommendation of caution when concluding that cutaneous findings are specifically due to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). 1, 2 Since the global pandemic of SARS-CoV-2, the University of Sao Paulo Medical School Hospital -a reference center and one of the largest University hospitals in Latin America -re-organized its structure, offering about 300 intensive care units and 500 nursery beds fully dedicated to SARS-CoV-2. Five staff members of the Dermatology Department were exclusively assigned to assist the admitted patients that Covid Toes: Phenomenon or Epiphenomenon? Caution in the time of rashes and COVID-19 Cutaneous manifestations in patients with COVID-19: a preliminary review of an emerging issue Classification of the cutaneous manifestations of COVID-19: a rapid prospective nationwide consensus study in Spain with 375 cases