“…Attributed to molecular mimicry and upregulated inflammatory, immunological pathways, it has been postulated that COVID-19 vaccines might contribute to immune-mediated phenomena, either exacerbating the preexisting or new onset of immune-mediated disorders. 17 In consistency with initial considerations in support of an immunological response against abnormal clones of keratinocytes as the underlying cause of eruptive pruritic papular porokeratosis, 13,14 Fernandez-Figueras et al 18,19 postulated that COVID-19 infection might have triggered an immune response related to the intensification of an inflammatory reaction against mutated clones from preexisting porokeratotic lesions.…”