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‘Covid toes’ may be a side effect of body’s response to fighting the virus

Researchers behind the 'Covid toes' study hope that their findings may help with treatments to ease the symptoms (Picture: Getty/Metro.co.uk)
Researchers behind the ‘Covid toes’ study hope their findings may help with treatments (Picture: Getty/Metro.co.uk)

Scientists believe they can finally explain the skin condition known as ‘Covid toes’.

Alongside common symptoms, such as a dry cough or high fever, some people have also developed small, itchy, red patches on their feet.

Findings from new research, published in the British Journal of Dermatology, show ‘Covid toes’ may be a side effect of the immune system’s response to fighting off the virus.

It results in chilblain-like inflammation and redness on the hands and feet, with the condition sometimes lasting for months at a time.

The symptom typically develops within a week to four weeks of being infected, and can result in toes and fingers becoming swollen or changing colour.

Researchers now hope their findings may help with treatments to ease the symptoms.

They examined 50 participants with ‘Covid toes’ and 13 with similar chilblains that arose before the pandemic.

Symptoms are said to be mild in the majority of cases and the feet return to normal within weeks (Picture: PA)
Symptoms are said to be mild in the majority of cases and the feet return to normal within weeks (Picture: PA)
BEST QUALITY AVAILABLEUndated handout photo issued by Journal of the American Academy of Dermatology of a person showing a skin symptom known as Covid toes, which sees some patients infected with coronavirus developing swollen and reddened skin for potentially months at a time, scientists have said. PA Photo. Issue date: Thursday October 29, 2020. Symptoms are said to be mild in the majority of cases and the feet return to normal within weeks. See PA story HEALTH Coronavirus Toes. Photo credit should read: Journal of the American Academy of Dermatology/PA WireNOTE TO EDITORS: This handout photo may only be used in for editorial reporting purposes for the contemporaneous illustration of events, things or the people in the image or facts mentioned in the caption. Reuse of the picture may require further permission from the copyright holder.
It typically develops within a week to four weeks of someone catching coronavirus (Picture: PA)

Cells lining blood vessels, which supply the affected areas, were found to play a critical role in the development of both conditions.

Senior author, Dr Charles Cassius, said the research provided a deeper understanding of the condition.

He said: ‘The epidemiology and clinical features of chilblain-like lesions have been extensively studied and published, however, little is known about the pathophysiology involved.

‘Our study provides new insights.’

What are 'Covid toes'?

They are typically red and swollen, and can become purple over time. They can also blister.

It can happen at any age, but affects children, teenagers and young people more commonly.

For some, it is painless, but the rash can be extremely sore and itchy, with tender blisters and swelling.

Consultant pathologist Dr Clare Craig said having red toes is now one of the biggest signs of Covid infection.

According to a New England Journal of Medicine (NEJM) paper, if someone has red bruises on their feet, they have a 72.14% chance of testing positive.

This is compared with 65.22% for a dry cough and 74.69% for chest pain and tightness.

Get in touch with our news team by emailing us at webnews@metro.co.uk.

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