Reply to "Acute urticaria with pyrexia as the first manifestations of a COVID-19 infection": Urticaria-like lesions in COVID-19 patients are not really urticaria. A case with clinicopathologic correlation.

We have read with great attention the article by Van Damme et al. considering urticarial lesions as a coronavirus disease 2019 (COVID-19) associated skin manifestation¹ . They observed two patients with erythemato-edematous lesions surrounded by whitish halo, thus similar to hives but without additional data on their evolution¹ . A previous report of COVID19-related urticarial lesions had also been first published by Recalcati² . However, none of these two published articles detailed if the lesions where evanescent, as it is mandatory for urticaria, nor did a pathological study.