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What Are COVID Toes? A Case Study.
Tara L Beuscher1,2, Sarah E Andrews1,2
1Tara L. Beuscher, DNP, RN-BC, GCNS-BC, ANP-BC, CWOCN, CFCN, NEA-BC, NPD-BC, Doctors Making House Calls, Durham, North Carolina.
COVID toes, a skin symptom of COVID-19, can appear during recovery and may be the sole indicator in mild or asymptomatic cases. Recognizing this sign aids in identifying infectious individuals who require isolation.
Area of Science:
- Dermatology
- Infectious Diseases
- Public Health
Background:
- COVID-19 symptoms often overlap with other common illnesses, complicating diagnosis.
- Dermatological manifestations, such as COVID toes, can be a late-stage or sole indicator of SARS-CoV-2 infection.
Observation:
- A case study details an adult female with presumed COVID-19 experiencing COVID toes as a notable symptom.
- COVID toes typically manifest during the recovery phase, particularly in patients with less severe COVID-19 illness.
Findings:
- COVID toes present as a subtle sign that can be easily mistaken for other conditions like chilblains or pernio.
- This symptom may be the only presenting sign in otherwise asymptomatic individuals, including children and young adults.
Implications:
- Increased provider awareness of COVID toes can improve the identification of undiagnosed, potentially infectious COVID-19 patients.
- Early recognition and isolation based on dermatological signs like COVID toes are crucial for public health containment strategies.
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