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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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Neurobion Forte: Benefits for Nerve Health and Vitamin B Deficiency

Vitamin deficiencies are a common but often overlooked health issue. Among them, vitamin B deficiency is particularly significant because of its direct impact on nerve function, energy metabolism and overall neurological health. Neurobion Forte is a widely used vitamin B-complex supplement designed to address these deficiencies and support nerve health.

Understanding how Neurobion Forte works and when it is beneficial helps individuals make informed decisions about their nutritional and neurological wellbeing.

What Is Neurobion Forte?

Neurobion Forte is a combination supplement containing essential B vitamins, primarily:

vitamin B1 (thiamine)
vitamin B6 (pyridoxine)
vitamin B12 (cobalamin)

These vitamins play a vital role in nerve signal transmission, energy production and maintenance of the nervous system.

Why Vitamin B Is Essential for Nerve Health

B vitamins are crucial for:

nerve impulse transmission
myelin sheath formation
energy metabolism in nerve cells

Deficiency can impair nerve function, leading to discomfort and neurological symptoms.

Common Causes of Vitamin B Deficiency

Vitamin B deficiency may occur due to:

inadequate dietary intake
poor absorption
chronic illnesses
long-term medication use
alcohol misuse

Vegetarians and elderly individuals are particularly at risk of vitamin B12 deficiency.

Symptoms of Vitamin B Deficiency

Early symptoms may include:

fatigue
weakness
numbness or tingling in hands and feet
poor concentration

If untreated, deficiency may progress to more serious neurological problems.

How Neurobion Forte Supports Nerve Health

Supports Nerve Repair

Vitamin B12 contributes to nerve regeneration and maintenance of nerve fibres.

Improves Nerve Signal Transmission

Vitamin B1 supports proper nerve impulse conduction.

Reduces Nerve Irritation

Vitamin B6 helps regulate neurotransmitter synthesis, reducing nerve-related discomfort.

Supports Energy Metabolism

B vitamins help convert food into energy, supporting overall nerve and muscle function.

Role of Neurobion Forte in Nerve Pain

Nerve pain caused by vitamin deficiency may present as:

burning sensation
tingling
numbness
shooting pain

In such cases, correcting the deficiency through supplementation may help relieve symptoms over time.

Conditions Where Neurobion Forte Is Commonly Used

Neurobion Forte may be prescribed or recommended in cases such as:

peripheral neuropathy
diabetic neuropathy (as supportive care)
nutritional deficiency-related nerve symptoms
general weakness associated with vitamin B deficiency

It is not a painkiller but supports underlying nutritional correction.

Importance of Medical Guidance

While vitamin supplements are widely available, inappropriate or excessive use may cause side effects.

Medical guidance ensures:

correct diagnosis
appropriate dosage
monitoring of response

Self-medication should be avoided, especially for long-term use.

Diet and Vitamin B Intake

Dietary sources of B vitamins include:

whole grains
legumes
dairy products
eggs
meat and fish

Balanced nutrition remains the foundation of vitamin sufficiency.

Who May Benefit Most from Neurobion Forte?

Individuals who may benefit include:

those with confirmed vitamin B deficiency
people with nerve-related symptoms
elderly individuals with poor nutrient absorption
individuals with restricted diets

Supplementation should complement dietary improvement.

Possible Side Effects and Precautions

When taken as advised, Neurobion Forte is generally well tolerated.

However:

excessive vitamin B6 intake may cause nerve symptoms
allergic reactions are rare but possible

Always follow professional advice.

How Long Does It Take to See Benefits?

Improvement depends on:

severity of deficiency
duration of symptoms
individual health status

Some people notice symptom improvement within weeks, while others require longer support.

Neurobion Forte and Overall Wellbeing

Correcting vitamin B deficiency supports:

nerve health
energy levels
cognitive function
overall vitality

Supplementation is most effective when combined with healthy lifestyle habits.

Conclusion

Neurobion Forte plays an important role in managing vitamin B deficiency and supporting nerve health. By supplying essential B vitamins, it helps restore nerve function, reduce deficiency-related symptoms and improve overall neurological wellbeing. While it can be highly beneficial when deficiency is present, its use should always be guided by medical advice to ensure safety and effectiveness. Balanced nutrition, early diagnosis and appropriate supplementation together form the foundation of healthy nerve function.

References

World Health Organization (WHO) – Micronutrients and Neurological Health
Indian Council of Medical Research (ICMR) – Nutrient Deficiency Guidelines
National Institute of Nutrition (NIN) – Vitamin B and Nerve Function Reports
Lancet Neurology – Vitamin Deficiency and Neuropathy Studies
Indian Journal of Clinical Nutrition – Vitamin B Supplementation Researc
Statista – Dietary Supplement Usage Trends

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