Health
COVID Toes and Above: Coronavirus cutaneous manifestations can be wide and diverse
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In fact, doctors at the American Academy of Dermatology are aware of a wide variety of rashes that may be associated with the virus that causes COVID-19, and the organization has begun enrolling medical professionals to submit cases. did.
“I think they are now associated with pandemics and viruses, because they are rarely seen elsewhere,” Dr. Amy Parah said of these diverse rashes. “I don’t know if it represents another virus, another exposure, or really a sign of a virus.”
Paraller in the picture above is the Director of Dermatology and Director of the Center for Dermatology and Disease Resource Base at the University of Northwestern Fineberg School of Medicine.
“Covid toe” is now a term familiar to many people and is a red and purple lesion, also known as sylbrain or pernio (painful inflammation of blood vessels), usually seen after cold exposure and usually Is not seen at this time, says Paller.
“They are especially seen in adults or teens where we have the relatively mild or most common symptoms associated with covid,” Paller said.
There may be a purplish red discoloration on the top of the toes or the bottom of the fingers for several weeks, or a small pus under the patient’s skin. But doctors haven’t seen consistent positive virus tests, or even positive antibody tests, in patients with these rashes, Parr said.
“Nevertheless, we believe that the real phenomenon is happening here, and we’re trying to figure out if and how it is related to the covid infection,” Paller said. States. “We just don’t know.”
Another rash found in children is a multisystem inflammatory syndrome. This has been described as a rash associated with Kawasaki Syndrome, Toxic Shock Syndrome, measles and scarlet fever, said Steven P. Stone, dermatologist at SIU School of Medicine in the photo above.
According to the Center for Disease Control (CDC), scarlet fever is a group A streptococcus or a bacterial infection caused by group A streptococci.
But more rashes have been reported, Stone said. It was reported that some patients (about 1 in 5) had some kind of rash as the Covid virus spread throughout Italy.
“Generally, it was described as a punctate rash,” Stone said. “But some patients described a rash that looked like urticaria, and there was at least one Italian patient who had small blisters on his body, like chickenpox. Which one causes the problem? Was this a coincidence, was it related to heat? “
Other rashes resemble petechiae (a pinpoint rounded spot due to bleeding), Stone said, “not a daily rash.
At this point, Stone does not feel the rash is incidental. However, they are so non-specific that most dermatologists do not automatically consider them to be “covid,” if only a rash is seen, especially if the person has no other signs of the disease. ..
“If you take a drug and develop a rash, the first thing I think of is a drug reaction. But if you develop a cough, fever, body pain-a flu-like symptom-a rash, then Yes, I think about the possibility. ”
Many other viruses cause a rash. These include chickenpox, fifth disease, measles, mononucleosis and roseola.
Not all rashes that may appear are associated with covid. He also noted that some rashes other than rashes require treatment, such as punctate rashes.
“A mild rash in a patient who feels good can be a precursor to a viral infection,” Stone said. “But most of the time, it’s an allergic reaction that disappears before the person sees a doctor.”
This is where telemedicine can be very helpful.
“It’s amazing how good it can be for a doctor if you can take decent photos on your mobile phone,” Stone said.
Heatlh Professional Registry
The American Academy of Dermatologists encourages health professionals of all disciplines or countries to enroll cases in the Dermatology COVID-19 Registry AAD Ad Hoc Task Force COVID-19.
Patients should not enter their case. They may share links with medical personnel.
Visit aad.org/covidregistry for registration and more information
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