Among the less common symptoms of the new coronavirus are so-called “COVID toes'— red, sore and sometimes itchy swellings on toes. Experts says don’t race to the emergency room if toes are your only worry, a telemedicine check should be the first step.
This April 3, 2020 photo provided by Northwestern University shows discoloration on a teenage patient's toes at the onset of the condition informally called "COVID toes." The red, sore and sometimes itchy swellings on toes look like chilblains, something doctors normally see on the feet and hands of people who’ve spent a long time outdoors in the cold.
“But I was not anticipating those would be toes,” said Freeman of Massachusetts General Hospital, who has viewed via telemedicine more toes in the last several weeks than in her entire career. Earlier this month, it issued advice that a telemedicine check is the first step for people wondering if they have “COVID toes” and who have no other reason for urgent care. Doctors then should decide if the patient should stay in home isolation or get tested.
Pictures of reddened toes and rashes all over social media and doctor chat groups have “already enabled the rapid recognition of skin signs by dermatologists. It is now time for rigorous science” to understand the link, Dr. Kanade Shinkai of the University of California, San Francisco wrote in a recent JAMA Dermatology editorial.
It’s showing up in young people too, according to Dr. Amy Paller of Northwestern University, who is part of a pediatric dermatology registry also collecting images of patients’ toes.
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