More than three million cases of severe acute respiratory syndrome coronavirus-2 infections (SARS-CoV-2) have been documented in the United States.1 The prevalence of skin findings in coronavirus disease 2019 (COVID-19) infections has been reported as high as 20%.2 Two COVID-19 patients with associated transient unilateral livedo reticularis (LR) were previously described.3 We present a case of transient LR as the initial presenting sign in a case of COVID-19.