Have you seen this in COVId-19 patients?

Female 45y, had some mild signs that might suggest COVID in the past 3 weeks (no fever, but mild rhinitis and cough). Since one week has these painful chilblains. Blood tests are on going. Do patients report of same pictures during the COVID pandemic? Please discuss the case.

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A 3 weeks history with no fever- unlikely to due to COVID- 19. Most likely it is a manifestation of peripheral vascular disease. Raynaud's disease is most likely Diagnosis.. A colour doppler study of lower limb vessels is needed to assess vascular insufficiency- if any.. Depending upon the Colour doppler study- further treatment is indicated

If there is no fever, throat pain, breathing difficulties for 3wks, then most probably not due to nCoViD-19.

Possibility of COVID 19 can't be ruled out. Needs further investigation and evaluation to conclude and line of treatment. Symptomatic treatment till reports complied.

Thanks Dr kute Ankush
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IT'S A..CASE OF.. ? VASCULOPATHY.. ? RAYNAUD'S PHENOMENON.. NEED'S.. COLOUR DOPLAR STUDY.. NEED'S TO R/O COVID-19 ..

Tnx Dr Gyanendranath Tripathy
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Severe chillblain With bleeding

Looks like more of vasculitis/ cryogloblunemia / raynaud's ...... Kindly look for associated hyperuricimea too , Do ANA profile , Do run Labs for Sugars... May need ABx --- associated cellulitis has to be ruled out ..., I would rather suggest do a usg abdomen , ..get history ... To r/o thrombus elsewhere in aorta ..or PAD .. get a CT angio lower limb or colour Doppler study of lower limb ... Furrther symptomatic Rx as required...

?covid19 associated vasculitis or cryoglobulinemia.

DIC Or viral xanthema Rare but seen in covid 19 patient

Chances of covid with vasculitis dd Reynolds disease

CHILBLAINS COULD BE A ATYPICAL MANIFESTATIONS OF COVID 19

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