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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

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Lifestyle Disease Prevention India: Protecting Health Through Proactive Care

Lifestyle diseases, also known as non-communicable diseases (NCDs), have become one of India’s most pressing health challenges. Conditions such as diabetes, hypertension, obesity, heart disease, thyroid disorders, fatty liver, and high cholesterol now affect millions-often starting at younger ages compared to previous generations. According to the Indian Council of Medical Research (ICMR), NCDs account for more than 60 percent of deaths in India. The good news: most lifestyle diseases are preventable with awareness, screening, and timely intervention.

SecondMedic supports a national shift from reactive to preventive healthcare through early detection, nutrition planning, lifestyle improvement, and chronic risk monitoring.

Why Lifestyle Disease Prevention Matters in India

1. Rising NCD Burden

Rapid urbanization, longer working hours, stress, and processed foods have accelerated lifestyle disease growth.

2. Younger Population at Risk

More Indians in their 20s and 30s are developing prediabetes, fatty liver, and high cholesterol.

3. Silent Disease Progression

Many conditions show no symptoms in the early stages.

4. High Long-Term Medical Cost

Treatment for advanced diabetes or heart disease is expensive compared to prevention.

5. Impact on Productivity

Organizations face rising health-related absenteeism and reduced performance.

Prevention is not optional-it is a necessity.

Major Lifestyle Diseases in India

1. Diabetes & Prediabetes

India has over 10 crore diabetics, with many unaware of their condition.

2. Hypertension

Known as the “silent killer,” it increases risk for heart attack and stroke.

3. Heart Disease

India sees one of the highest premature heart attack rates globally.

4. Obesity & Metabolic Syndrome

Poor diet and inactivity contribute to dangerous fat accumulation.

5. Fatty Liver Disease

Highly common even among non-alcoholic individuals.

6. Thyroid Disorders

Thyroid imbalances affect metabolism, weight, and mental health.

7. Stress & Sleep Disorders

Impact emotional stability and long-term health.

SecondMedic offers preventive screenings tailored for each of these risk areas.

Early Detection Through Preventive Health Checkups

Preventive checkups help detect abnormalities before they turn into chronic disease.

SecondMedic’s packages include:

CBC
Lipid profile
HbA1c
Thyroid panel
Liver function tests
Kidney profile
Cardiac markers
Vitamin D & B12
Hormone tests
ECG

These tests provide a comprehensive health snapshot.

Lifestyle Disease Prevention Strategies

1. Nutrition Management

A healthy diet is the foundation of prevention.
SecondMedic dietitians design personalized nutrition plans based on:

Age
Weight
Activity
Medical history

2. Regular Physical Activity

Movement reduces blood sugar, strengthens the heart, and improves metabolism.

3. Stress Management

Chronic stress increases cortisol, causing diabetes and weight gain.
SecondMedic offers:

Online mental health counselling
Anxiety management
Sleep routines

4. Avoiding Tobacco & Alcohol

These significantly increase risk of cancer, fatty liver, and heart disease.

5. Healthy Weight Maintenance

Targeted routines help maintain optimal BMI and waist circumference.

6. Adequate Sleep

Poor sleep leads to hormonal imbalance and weak immunity.

7. Regular Health Checkups

Monitoring every 6-12 months helps track changes early.

Technology in Lifestyle Disease Prevention

India’s digital health ecosystem supports smarter prevention through:

Wearables
Fitness trackers
AI-based risk prediction
Digital symptom assessment
Remote monitoring devices

SecondMedic integrates these tools for continuous care.

Why SecondMedic for Lifestyle Disease Prevention

1. Comprehensive Screening

All major biomarkers, organ function tests, and metabolic indicators.

2. Expert Interpretation

Doctors analyze results and provide actionable insights.

3. Personalized Health Plans

Nutrition + fitness + lifestyle guidance.

4. Continuous Monitoring

Follow-ups ensure long-term success.

5. Integrated Telemedicine Support

Patients can speak to specialists anytime.

Conclusion

Lifestyle disease prevention India is crucial for improving long-term health and reducing the national burden of chronic diseases. Through early screening, targeted intervention, better nutrition, exercise routines, and continuous monitoring, individuals can dramatically reduce their risk. SecondMedic offers a complete ecosystem of preventive healthcare to help Indians stay healthy and proactive.

To begin your preventive health journey, visit www.secondmedic.com

References

ICMR - India NCD burden
WHO - Global NCD prevention guidelines
Statista - Lifestyle disease trends in India
NITI Aayog - Preventive health model
SecondMedic preventive care insights

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