COVID-19 Skin Signs on Feet

COVID-19 is associated with a wide range of symptoms, including fever, malaise, cough, and difficulty breathing. Dermatologists in Italy studied 88 confirmed COVID-19 positive patients and observed skin changes in 20%. Half developed them at the onset of infection, and half exhibited the skin changes during or up to four weeks after onset.

Skin reactions to look for on your feet and ankles include:

Redness or Bruising with no known injury

Blisters resembling chicken pox

Reddish bumps on the heels

Red/purple net-like pattern


Hives on the feet, ankles, or legs

If you have any of these signs or symptoms, please make a virtual appointment with your podiatrist so they can help determine if your condition is actually associated  with COVID-19.

 

References:
1.Cutaneous Findings Reported in COVID-19. (2n.d., April 13). Retrieved April 21, 2020, from https://www.nebraskamed.com/sites/default/files/documents/covid-19/addendum-f-cutaneous-findings-reported-in-covid-19.pdf
2.Estébanez, A., Pérez-Santiago, L., Silva, E., Guillen-Climent, S., García-Vázquez, A., & Ramón, M. D. (2020). Cutaneous manifestations in COVID-19: a new contribution. Journal of the European Academy of Dermatology and Venereology. doi: 10.1111/jdv.16474
3.Fett, N. (2019). Evaluation of adults with cutaneous lesions of vasculitis [UptoDate]. Retrieved from https://www.uptodate.com/contents/evaluation-of-adults-with-cutaneous-lesions-of-vasculitis?search=livedo reticularis&source=search_result&selectedTitle=3~89&usage_type=default&display_rank=3
4.Janković, A., Binić, I., & Janković, D. (2012). Reddish-violet, reticular discoloration on the legs. American family physician, 85(9), 907–908.
5.Henry, D., Ackerman, M., Sancelme, E., Finon, A., & Esteve, E. (2020). Urticarial eruption in COVID-19 infection. Journal of the European Academy of Dermatology and Venereology. doi: 10.1111/jdv.16472
6.Lonzerj. (2020, April 13). Skin Rashes: An Emerging Symptom of COVID-19. Retrieved from https://consultqd.clevelandclinic.org/skin-rashes-an-emerging-symptom-of-covid-19/
7.Manalo IF, Smith MK, Cheeley J, Jacobs R, A Dermatologic Manifestation of COVID-19: Transient Livedo Reticularis, Journal of the American Academy of Dermatology (2020), doi: https://doi.org/10.1016/j.jaad.2020.04.018.
8.Mazzota F et. al. Acute Acro-Ischemia in a Child at the time of COVID-19. Dermatologica Pediatrica, 2020 April 11. https://img.beteve.cat/wp-content/uploads/2020/04/acroischemiaENG.pdf
9.National Syndicate of Dermatologists – Venereologists. 2020, April 11. https://www.syndicatdermatos.org/wp-content/uploads/2020/04/cp-covid-peau-6-avril.pdf
10.Otto, M. A. (2020, April 15). Skin manifestations are emerging in the coronavirus pandemic. Retrieved from https://www.the-hospitalist.org/hospitalist/article/220183/coronavirus-updates/skin-manifestations-are-emerging-coronavirus-pandemic

 

Dr. Adam Spector works in our Rockville, MD (Shady Grove) and Wheaton, MD offices for your convenience. Dr. Sarwat Siddiqui is the FASMA Pathology Lab Director

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