什么是“新冠脚趾”？一个病例研究。
What Are COVID Toes? A Case Study.
机构信息
Tara L. Beuscher, DNP, RN-BC, GCNS-BC, ANP-BC, CWOCN, CFCN, NEA-BC, NPD-BC, Doctors Making House Calls, Durham, North Carolina.
Sarah E. Andrews, MA, Harden Library for the Health Science, University of Iowa, Iowa City. ORCID ID: https://orcid.org/0000-0001-8391-6353.
出版信息
J Wound Ostomy Continence Nurs. 2020 Nov/Dec;47(6):619-621. doi: 10.1097/WON.0000000000000711.
BACKGROUND
COVID-19 symptoms mimic many other common conditions, making it difficult to identify patients infected with COVID-19. Adult patients may exhibit what is called "COVID toes" later in their course of illness. Noteworthy is that COVID toes may be the only symptom in otherwise asymptomatic young adults and children.
CASE
We present experience with an adult female patient residing in the United States with presumed COVID-19 infection who was self-isolating with illness not severe enough to require hospitalization. COVID toes were one symptom experienced as a part of her illness. Because COVID toes are usually seen in the recovery phase of COVID-19, and often in patients with less severe cases, many providers are unfamiliar with this new symptom.
CONCLUSION
Familiarity with COVID toes will help foot care providers to identify patients who may not have been diagnosed with COVID-19 but could still be infectious and need to be isolated. COVID toe signs may be subtle and often mimic other conditions such as chilblains/pernio, thus a thorough history and physical examination are required.
背景
COVID-19 症状类似于许多其他常见病症，因此难以识别感染 COVID-19 的患者。成年患者在病程后期可能会出现所谓的“COVID 脚趾”。值得注意的是，COVID 脚趾可能是无症状的年轻成年人和儿童唯一的症状。
病例
我们介绍了一位居住在美国的成年女性患者的经历，她被认为感染了 COVID-19，正在自我隔离，病情没有严重到需要住院治疗。COVID 脚趾是她患病过程中的一个症状。由于 COVID 脚趾通常出现在 COVID-19 的康复阶段，而且通常出现在病情较轻的患者中，许多医生对这种新症状并不熟悉。
结论
熟悉 COVID 脚趾将有助于足病护理提供者识别那些可能尚未被诊断出 COVID-19 但仍具有传染性并需要隔离的患者。COVID 脚趾的迹象可能很微妙，并且常常类似于其他病症，如冻疮/冷疹，因此需要进行详细的病史和体格检查。
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