The Coronavirus has been linked to an uncommon rash on the toes known as COVID toes. They are thought to be a result of a strong immune response to the Coronavirus in an effort to fight off the virus. COVID toes may or may not be accompanied by more typical symptoms of the Coronavirus and they may affect one or more toes, presenting as pink, red or purplish swelling. They have been reported in the early stages of the Coronavirus, but have also been seen following the acute phase of the illness.
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Symptoms
A pink, red or purplish, rash on one or more toes that may have pus or liquid under the skin. Raised bumps and blisters on the skin have also been reported. COVID toes will usually accompany other symptoms of the Coronavirus. The affected toes often feel sore, itchy or burn. COVID toes may be confused with a skin disorder known as Chilblains or even frostbite as they all share similar symptoms. Discolouration on toes due to covid typically lasts 1-2 weeks.
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Causes
The exact cause of COVID toes is unknown but could be due to the immune system going into overdrive to fight off the Coronavirus. Reaction to illness varies from person to person and is not predictable. Skin rashes are not an uncommon symptom of illness and viruses. People of any age may experience COVID toes but it seems to be more common in children, teenagers and young adults who are otherwise healthy.
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Treatment
COVID toes will resolve on their own but if they become bothersome, there are ways to relieve symptoms at home. It is important to keep the skin clean by using a mild soap, and drying well afterwards. If the rash feels itchy or burns, a cortisone cream can help reduce inflammation and irritation. If skin becomes broken, preventing infection is key. Washing regularly and applying an antibiotic ointment as needed will lessen the risk for infection. If COVID toes are suspected, it is a good idea to seek the advice of a primary care professional.
