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Do Parents Need to Be Wary of COVID Toes in Kids?

 Among one of the more peculiar reported symptoms of COVID-19 has been the mysterious “COVID toes.” In the last six months, there have been multiple reported cases of people with red, sore, itchy, and discolored toes, generally, with no or limited other symptoms, that would suggest they were sick with COVID-19.
For many, this condition feels like chilblains, where one gets red or purple tender bumps on the fingers or toes. Generally, this condition occurs as a reaction to cold temperatures. However, when reports of people experiencing the condition began rolling in even from warm regions, experts were taken by surprise.

"COVID toes" could be a clue for kids without any other symptoms

Health professionals say that the infection is painful to the touch and could have a hot burning sensation. Interestingly, however, COVID toes seem to be appearing in COVID-19 patients who haven’t displayed any other symptoms related to the disease. “This is a manifestation that occurs early on in the disease, meaning you have this first, then you progress,” said Dr. Ebbing Lautenbach, chief of infectious disease at the University of Pennsylvania's School of Medicine to USA Today. “Sometimes this might be your first clue that they have COVID when they don’t have any other symptoms.”
Curiously, the symptom of COVID toes appears to be affecting many children and young adults, too, apart from adults.COVID Toes, coronavirus masks parent and child
So far, the coronavirus didn’t seem to have much of an effect on kids or babies as much as it has adults. In cases where children or teens did get the virus, they generally had mild symptoms and recovered relatively quickly. However, COVID toes could be a clue for young people without any apparent symptoms.
Apparently, the discoloration appears in children before they get any other symptoms. This means that if you notice a red or purplish kind of rash on your child’s toes, then it may be an indicator of them having contracted the coronavirus and it would be better to get them checked immediately. 
Earlier this year, a new study from Spain recently published in the British Journal of Dermatology looked at 7 children with painful chilblain-like symptoms on their toes. The experts took a tiny biopsy sample from the toes to look at and found coronavirus particles within the tiny blood vessel cells of the feet. This provides the strongest evidence that the virus may be directly responsible for this symptom.

Symptoms of “COVID toes”

COVID Toes, Symptoms
As of now, those with COVID toes appear to have the following symptoms:
* Red or purple tender bumps on the fingers or toes.
* A burning sensation, often with pain and tenderness.
* In a few cases, there have been small colorful circles on the bottom of the foot or the big toe.
No one knows exactly why the novel coronavirus might cause chilblain-like lesions. But if one does develop them, it is important to not panic.
“The good news is that the chilblain-like lesions usually mean you’re going to be fine,” says Dr. Lindy Fox, a dermatologist in San Francisco. “Usually it’s a good sign your body has seen COVID and is making a good immune reaction to it.”

Be cautious but don’t panic 

COVID Toes, examination
Do note that dermatologists have been trying to understand COVID toes for the last six months and still aren’t completely sure about it. There have been a few conflicting studies in the past couple of months on this subject - a few that support the link between COVID-19 and COVID toes and other ones that deny it. Moreover, there’s still confusion and mystery of whether or not people who develop COVID toes are actually infected with the virus.
“We are still trying to figure out the exact relationship between "COVID toes" and the virus with regards to whether a person is infectious or will develop immunity as a result. Other causes of chilblains still exist, so we recommend a person see their primary care doctor or dermatologist if they notice these skin findings,” says Roxana Daneshjou, MD, Ph.D., Dermatologist, and Clinical Scholar at Stanford Dermatology.
Thus, more scientific evidence and analysis will be required to understand its symptoms and confirm if it’s related to COVID-19. Furthermore, in most cases of children with COVID toes, the symptoms seem to go away after about 2-3 weeks. That being said, there’s no harm being a little cautious if you notice your child having similar symptoms and consulting your primary care doctor or a dermatologist to rule out other possible causes.
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