COVID-19 is a respiratory illness but has several signs and symptoms that have been reported, including but not limited to fever, dry cough, diarrhea, headache, loss of smell and taste, muscle ache, and fatigue. However, most recently there seems to be another finding that presents in the lower extremity, specifically the toes.
According to numerous sources out of Italy, France, Spain and China, and case reports from dermatologist and podiatrist in the United States, COVID-19 lesions are described as similar to those found in chickenpox, measles, chilblains, frostbite, and depending on the time of presentation, they could look similar to infection or dermatitis.
The lesions are purple-colored that appear on the toes but can also be found at the arch and heel region, and on the fingers. There is an array of clinical findings, most commonly a red rash or hive-like eruption. Interestingly, a frostbite-like area of typically red or purple discoloration has been reported but doesn’t appear to have a correlation to weather or injury.
The condition usually starts with red or purple discoloration (bruise-like), and the skin may become raised, and the skin may slough, blister or develop a wound. The typical presentations are on the ends of toes, or on the tops of toes. The patients have also reported feeling the skin is hot, burning, itchy, or tingling, but reports of pain with pressure and while walking are not uncommon.
Unfortunately, the cause of these atypical skin conditions is not yet known, but some experts claim it may be a robust response by the patients’ immune system to the virus that causes downstream clotting of small blood vessels. Dr. Esther Freeman, a dermatologist at Massachusetts General Hospital in Boston, MA developed an international registry for clinicians to report suspected cases or those that have tested positive and have dermatological conditions. This information could then potentially be used for testing criteria when it becomes more readily available.
If you or someone you know may be suffering from ‘Covid toes’, please don’t hesitate to call the doctors at North Texas Foot and Ankle for instructions.
Please contact our office with your order. We will bag it for you and meet you at the curb. Our hours for ordering are M, W, Th from 8-5, Tues 8 to 7 and Fri 8-4.
Q. Do you need to wash your hands with antibacterial soap to kill the coronavirus?
No. Antibacterial soaps target bacteria, and coronavirus is a virus. So, an antibacterial soap is unnecessary. In fact, the CDC states that research shows antibacterial soaps offer no added benefit for consumers compared with plain soap.
Rubbing your hands together with plain soap and water is extremely effective at removing germs says Don Schaffner, Ph.D., a microbiologist and distinguished professor at Rutgers University.
The most important thing to know about coronavirus and hand-washing is that you should wash your hands thoroughly with soap and water for 20 seconds after you touch public or other surfaces that might be contaminated with the virus. And remember to wash your hands after you use the bathroom, before you eat, and after coughing, sneezing, or wiping your nose.
Q. Do any ‘natural’ cleaners kill the coronavirus?
Yes, and it’s soap. “Regular soap is incredibly natural,” Schaffner says. Its main ingredients are fats or oils (like shea butter and coconut oil) and lye (sodium hydroxide), and the resulting product is gentle on the skin.
Q. Does using disinfectant wipes on grocery carts kill the coronavirus ?
Yes. The ingredients in disinfectant wipes inactivate viral microbes so that they are no longer infectious. “It’s a best practice to wipe down your grocery cart handle with a disinfectant product when you enter the store,” Schaffner says. The Environmental Protection Agency also lists disinfectant wipes (which may contain quaternary ammonium, sodium hypochlorite, hydrogen peroxide, ethanol, or isopropanol) as effective in protecting against SARS-CoV-2 (the official term for the new coronavirus). For best results, vigorously wipe down the cart handle and let the surface dry completely before touching it again.
Cloth face coverings should—
CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain (e.g., grocery stores and pharmacies), especially in areas of significant community-based transmission.
CDC also advises the use of simple cloth face coverings to slow the spread of the virus and help people who may have the virus and do not know it from transmitting it to others. Cloth face coverings fashioned from household items or made at home from common materials at low cost can be used as an additional, voluntary public health measure.
Cloth face coverings should not be placed on young children under age 2, anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the mask without assistance.
The cloth face coverings recommended are not surgical masks or N-95 respirators. Those are critical supplies that must continue to be reserved for healthcare workers and other medical first responders, as recommended by current CDC guidance.
Yes. They should be routinely washed depending on the frequency of use.
How does one safely sterilize/clean a cloth face covering?
A washing machine should suffice in properly washing a face covering.
How does one safely remove a used cloth face covering?
Individuals should be careful not to touch their eyes, nose, and mouth when removing their face covering and wash hands immediately after removing.
Did your kids run through the house and back yard playing tag and stub their toe on the frame of the sliding glass door?
We are in a “shelter in place” order, but that does not mean you can’t go to the doctor for an injury.
We have been asked by the hospitals to help keep all but the most ill out of the ER. To that end, North Texas Foot & Ankle will be taking calls and seeing urgent visits 24/7! Can’t come to the office? ……We also are offering TelePodiatry!
North Texas Foot and Ankle is open and observing enhanced disinfecting and managing patient visits to observe social distancing requirements.
We provide in-office x-ray’s so there is no need to go to another facility for imaging.
We hope you and your family are safe and do not need us!
But, if you do, we are here for you and your family!