OBJECTIVES: The present study aims to highlight the resurgence of deficient rickets and the importance of early treatment to prevent disabling sequelae. CASE REPORT: Child aged 11 months, 9 months corrected, born by caesarean section due to specific hypertensive disease of pregnancy and fetal centralization, premature 30 weeks, weight 1,065 grams. He received exclusive breast milk up to six months of age, with good weight gain. Evolves with primary malnutrition after introducing complementary diet with low dietary acceptance, during a pediatric consultation it was found developmental delay secondary to the state of malnutrition characterizing deficient rickets, facing the growth curves using the World Health Organization (WHO) graphs, with weight and length below Z-score - 3 for age. Radiological evidence showed generalized bone demineralization, with widening of the extremities and distal femoral metaphysis and cup-shaped proximal tibia. He was admitted to a hospital in the Federal District for seven days where he received diet by nasogastric tube and oral, at the end of hospitalization evolved with appetite return and good weight gain, maintains outpatient follow-up on continuous use of vitamin D and A, and ferrous sulfate. What stands out here is the importance of early diagnosis, as well as instituting mechanisms and behaviors that contribute to treatment adherence.

The study aims to analyse the cutaneous manifestations described in the literature so far, in children and adolescents, related to COVID-19. An integrative review was carried out using the descriptors and combinations in the English language: skin abnormalities, coronavirus infection, child, and adolescent. The inclusion criteria were articles that related skin manifestations in children and adolescents with COVID-19. The analysis and synthesis of the data obtained in a descriptive manner, characterizing the cutaneous manifestations analyzed. The study ended with 5 articles and it was observed that patients in the pediatric age group with COVID-19 may present diverse skin lesions as a single manifestation or accompanied by mild symptoms, and that these may be similar to those of other diseases common in childhood and adolescence.