Symtomps of COVID-19 on skin?
Today, there were around 3.51M people around the world confirmed of getting infected by COVID-19. A third of those were recovered and nearly 250K deaths. After four months, more evidence has been collected. The previous common known symptoms are fever, tiredness and dry cough. Some others could be aches and pain, nasal congestion, runny nose, sore throat, diarrhoea. A few uncommon could be a loss of smell and scene.
Recently, a group of dermatologists in Belgium and the US has detected a new symptom on skin from a young male case study. It calls attention from the community. More and more evidence is found across the countries.
- Published on 28/2 in the New England Journal of Medicine, in China, among 1000 COVID-19 patients, only 0.2% of those show rashes.
- In Italy, among 150 COVID-19 patients, up to 20% of hospitalization was found.
- Published on 26/3 in the Journal of the European Academy of Dermatology and Venerology, there is a conclusion of dermatologist about subtle skin changes.
- On March 8, a 13 year-old-boy developed lesions initially thought as a spider bite, but then diagnosed with COVID-19.
- Published on 6/4 on a press communication publisher, COVID toes was first recognized by a report of a French dermatologist.
- Published on 8/4 in the Spanish General Council of Official Podiatrist Colleges release a statement about numerous cases found in Italy, France and Spain.
- It could take many forms such as tiny dots, larger flat or raised lesions; hive like appearance while frostbitten toes in COVID-19 cases
- In a young population: children or in their 20-30s with good health conditions.
Prior studies on other viral disease:
- Rashes are commonly observed among viral illness, e.g. chickenpox, measles and hand, foot and mouth disease can cause rashes, mostly in children.
What we know
- Patients with COVID-19 toes are reported with mild or asymptomatic cases.
- Too early to say about a causality whether it is caused by a virus or a reaction pattern of ramped-up immune system caused by any disease . What we know is a sudden increase in the number of case reports.
- The statistical significance of rashes towards an outcome of patients in a positive way or negative way.
What really happens
- More discussion in the science community with more rigorous methodologies to measure and assess a link between observation and underlying mechanism.
What is looking for next?
- American Academy of Dermatology: More evidence reported by dermatologists via an online registry of 300 patients this week.
- Update(6/5): There was more than 400 reports from 21 countries. A half of those are cases of COVID toes.
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- Writer, R. (2020). More than ‘covid toes’: Numerous reports of skin rashes tied to COVID-19. Retrieved 5 May 2020, from https://www.livescience.com/skin-rashes-covid-19-symptoms.html
- Freeman, E. E., McMahon, D. E., Fitzgerald, M. E., Fox, L. P., Rosenbach, M., Takeshita, J., French, L. E., Thiers, B. H. and Hruza, G. J. Freeman, Esther E. et al. “The AAD COVID-19 Registry: Crowdsourcing Dermatology In The Age Of COVID-19”. Journal Of The American Academy Of Dermatology, 2020. Elsevier BV, doi:10.1016/j.jaad.2020.04.045. Accessed 5 May 2020.
- Washington Post 29/4/2020
- NPR 6/5/2020
Tagged #summary, #COVID19.