In the course of the highest point of the COVID-19 crisis during winter there began to show up a number of reports coming from Spain and Italy of chilblains about the feet being frequent in those with the coronavirus infection. Chilblains are usually more frequent during winter, hence initially it was not clear if this was only a chance or it turned out as associated with the COVID-19 issue. As the number of reports accelerated and it was also getting reported in many other countries around the world, it was began to be given serious attention and not simply being an unusual observation. Chilblains are normally smaller painful red coloured lesions around the toes which are as a result of inadequate response from the little arteries as a result of the chilly temperature ranges. Should they continue to arise and become chronic, they change to a more dark blue colour. They are characteristically cared for by avoiding the cold, always keeping the foot comfortable and making use of ointments and lotions to stimulate the blood flow and healing.
While a good deal remains to be learnt concerning COVID-19, it has become apparent that as part of the pathology we have a cytokine inflamation related reaction which has a wide variety of impacts, one of which is that this increases the reactivity of the small blood vessels. Based on this specific knowledge it would be seen exactly how chilblains may well be a feature of a COVID-19 disorder making this COVID toes a genuine condition. Those that have the disorder that get the COVID toes are usually not generally people who would generally develop a chilblain, however that challenge with the blood vessels reactions might predispose to them. They do seem to be more common in children. We have seen certain alert brought up about this as it may be that the COVID toes actually have nothing to do with the COVID-19 disease and simply be considered a factor of lifestyle changes as a result of the lockdown, with increased reliance on things like central heating in homes in the cooler environment which is inducing the higher incidence of the chilblains. At this stage it is certainly not definitely clear which one could well be the reason.
No matter which it can be, doctors need to be on the watch out with this condition which become referred to as COVID toes and also be alert as to exactly what the existence of that symptom suggests. For example, if a person shows up with a chilblain which is atypical plus they tend not to normally get chilblains within the chillier temperatures, then a red flag may be required to be brought up to help investigate any other signs that could be present suggesting an increasingly serious problem. Alarm bells might need to set off. If a person can have COVID-19 and develop a chilblain, then that is going to have to be handled in the framework of the greater problem with all of the typical guidelines followed. Feet are going to need to be protected from the cold weather making use of good shoes and also socks which will keep the feet warmer. Guidance is required to be provided on how to avoid the cold temperatures. There are several creams and also gels you can use to help with the discomfort and stimulate the blood flow.