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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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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Severe chillblain With bleeding

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

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

Might be due to abnormal blood vessel response , might be includes the relation of Raynaud's

? RAYNAUD'S DISEASE/VASCULOPATHY NEEDS FURTHER EVALUATION TO CONCLUDE... COVID-19 AS WELL

Thanks Dr. Kute Ankush
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?covid19 associated vasculitis or cryoglobulinemia.

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...

No ,but should consult the best doctor , He may suggest, further investigations and treatment

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