Call
+918447748545

Published on: May 22, 2020
1 minute read
By: Dr Rajan Choudhary

Corona Virus In Young Patients And Kids

Kids seem to be relatively unaffected by COVID, but this does not mean they are invulnerable. As with adults, some children have pre-existing cardiac, respiratory, or metabolic conditions, and are therefore more vulnerable to the effects of COVID. Interestingly, children appear to have one more symptom when infected with coronavirus – COVID Toes.

I personally came across this phenomenon recently, with a young patient asymptomatic for COVID who presented with unusual symptoms of dark bruises on his toes. This had been present for just a few days. He did not have any pain, itching, swelling, no recent trauma, or injury to the feet. Circulation to his feet was normal, with no other rashes or skin changes, no other abnormal features in the history to note. It was certainly an odd presentation and certainly could have been an example of COVID toes.

This new phenomenon was noticed in April and has not gained as much notoriety because it is fairly rare compared to the major COVID symptoms, such as fever, cough, and lethargy. Doctors have described lesions on the feet of young people, usually purple-colored, around the tips of the toes. They have been compared to chilblains, painful swellings on feet, and toes that appear in the cold. Similarly to chilblains they do not cause any permanent damage and usually regress in days to weeks.

It's not clear why they occur or the mechanism behind the discoloration, because the presentation is rare and in healthy patients. We know COVID can cause systemic inflammation and can increase the risk of clot formation. It may be that localized inflammation is occurring in the toes, causing the vessels to clamp down and reduce blood flow to the area. This is similar to the mechanism for chilblains forming in the foot. Micro-clotting could also be partially responsible for this phenomenon.

COVID Toes is not the only skin symptoms related to COVID. In a paper published in the British Journal of Dermatology, researchers described five common skin presentations in 375 COVID patients. These were:

Asymmetrical chilblain like lesions in the hands and feet, found in younger patients lasting up to 2 weeks.
Small itchy blisters in the trunk and limbs, found in middle-aged patients before they present with symptoms, lasting about 10 days
Pink or white areas of raised skin, itchy, usually on the body
Raised bumps called macropapules, lasting about a week, seen in more severe infections.
Mottled, blotchy red-blue skin (known as livedo) seen in patients with severe illness.

So if you are currently suffering from COVID or have recently recovered from an infection, and suddenly notice odd colored toes, you too may have a case of COVID toes.

Dr Rajan Choudhary, UK, Chief Product Officer, Second Medic Inc

www.secondmedic.com

Read Blog

Symptoms of Chronic Inflammation in the Body: Early Warning Signs Explained

Inflammation is a natural defense mechanism that helps the body fight infections and heal injuries. However, when inflammation persists for months or even years without a clear cause, it becomes chronic. Chronic inflammation can silently damage tissues and increase the risk of serious diseases.

In India, rising cases of lifestyle diseases such as diabetes, heart disease and autoimmune disorders are often linked to long-term inflammatory processes. Recognizing the symptoms of chronic inflammation in the body is essential for early prevention and treatment.

What Is Chronic Inflammation?

Acute inflammation is short-term and occurs in response to injury or infection. Chronic inflammation, on the other hand, is:

Persistent
Low-grade
Often symptomatically subtle
Linked to long-term health conditions

It may occur due to unhealthy lifestyle habits, stress, obesity or underlying disease.

Common Symptoms of Chronic Inflammation

1. Persistent Fatigue

Ongoing tiredness that does not improve with rest may indicate systemic inflammation.

Inflammatory chemicals in the body can interfere with energy production.

2. Joint and Muscle Pain

Unexplained pain, stiffness or swelling in joints may suggest inflammatory conditions such as arthritis.

Pain may:

Last for weeks
Worsen in the morning
Occur without injury

3. Digestive Issues

Chronic inflammation may affect the gut, leading to:

Bloating
Diarrhea or constipation
Abdominal discomfort
Food sensitivities

Gut health and immune function are closely connected.

4. Frequent Infections

A weakened immune response due to chronic inflammation may result in:

Recurrent colds
Slow wound healing
Persistent sore throat

5. Skin Problems

Inflammatory skin conditions include:

Acne
Eczema
Psoriasis
Rashes

Persistent skin issues may reflect internal inflammation.

6. Brain Fog and Mood Changes

Inflammation can affect brain function, causing:

Difficulty concentrating
Memory issues
Irritability
Low mood

Mental and physical health are interconnected.

7. Unexplained Weight Changes

Inflammation may disrupt metabolism, leading to:

Abdominal weight gain
Difficulty losing weight

Obesity itself can further promote inflammation.

Causes of Chronic Inflammation

Common contributing factors include:

Poor diet high in processed foods
Excess sugar intake
Smoking
Alcohol abuse
Chronic stress
Lack of exercise
Sleep deprivation
Environmental pollution

Addressing these factors is essential for prevention.

Diseases Linked to Chronic Inflammation

Long-term inflammation is associated with:

Type 2 diabetes
Cardiovascular disease
Cancer
Autoimmune disorders
Fatty liver disease
Alzheimer’s disease

Early intervention reduces risk significantly.

How to Reduce Chronic Inflammation Naturally

1. Adopt an Anti-Inflammatory Diet

Include:

Fresh fruits and vegetables
Whole grains
Nuts and seeds
Fatty fish
Olive oil

Avoid processed foods and excessive sugar.

2. Exercise Regularly

Moderate physical activity lowers inflammatory markers.

Aim for at least 30 minutes daily.

3. Manage Stress

Chronic stress increases inflammatory hormones.

Practice:

Meditation
Yoga
Deep breathing exercises

4. Improve Sleep

7–8 hours of quality sleep supports immune regulation.

5. Maintain Healthy Weight

Reducing excess body fat lowers inflammation levels.

6. Avoid Smoking and Limit Alcohol

Both habits promote inflammatory responses in the body.

When to Seek Medical Advice

Consult a healthcare professional if you experience:

Persistent fatigue
Joint swelling
Recurrent infections
Unexplained pain
Long-lasting digestive problems

Blood tests such as C-reactive protein (CRP) may help assess inflammation levels.

Chronic Inflammation in the Indian Context

Rapid urbanization, sedentary lifestyle and dietary shifts in India have contributed to increasing inflammatory-related diseases. Public awareness about preventive measures can significantly reduce healthcare burden.

Early lifestyle changes play a crucial role in improving long-term outcomes.

Conclusion

Chronic inflammation may present subtle symptoms such as fatigue, joint pain, digestive issues and brain fog. Although often overlooked, long-term inflammation can increase the risk of serious diseases.

Adopting healthy eating habits, regular exercise, stress management and adequate sleep can help reduce inflammation naturally. Recognizing early warning signs and seeking medical advice when needed ensures better long-term health.

Taking proactive steps today can prevent major complications tomorrow.

References

Indian Council of Medical Research – Chronic Disease Reports
World Health Organization – Non-Communicable Disease Guidelines
National Institute of Nutrition India – Dietary Recommendations
Lancet Global Health – Inflammation Research
Journal of Clinical Medicine – Chronic Inflammation Studies

Request A Callback

+91

By using this website/app, I confirm that I am at least 18 years old and consent to the processing of my personal data in accordance with the Terms of Service, Privacy Policy, and Declaration.