Should patients presenting with acro-vasculitis be studied for coagulation defects and considered for preventive therapy even if they are asymptomatic?
Acro-ischemic lesions on toes and fingers have been identified in a subgroup of COVID-19 patients.22,155 The data available are scarce and it is unclear if preventive or active anticoagulation should be initiated. However, acro-ischemic lesions could predate other SARS-CoV-2 symptoms in children and young adults.