These cases would make one to associate with many of the acro-ischemic lesions, as observed by many Italian Dermatologists who worked front line on Covid 19 fight, and they postulate as vasculitis; as those are more than viral exanthema and seemingly also linked to some coagulation disorder. (https://www.fip-ifp.org/wp-content/uploads/2020/04/acroischemia-ENG.pdf) This might prove the concept that SARS-CoV 2 entered human by the lungs, through the ACE2 receptors; but did not always stopped at ARDS. Besides the Cytokine Storm Syndrome and multiple organ failures, it can also spread further thru ACE2 into the vascular endothelium, causing both central ( Kawasaki) as well as peripheral (Acroischemia) vasculitis and thromboembolism, which in turn account for some of the many organ damages.