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Coronavirus symptoms

Coronavirus symptoms: CDC says they last longer than expected for some – PennLive

CDC data shows coronavirus infections far higher in NYC than reported cases indicate

Vials with samples taken for the new coronavirus are counted before they are prepared for RNA testing at the molecular pathology lab at Tulane University School of Medicine in New Orleans, Thursday, April 2, 2020. The test is identical to the PCR test being used by the Centers for Disease Control to ease the testing crisis and stop the spread of COVID-19, which has hit the New Orleans area especially hard. (AP Photo/Gerald Herbert) APAP

The US Centers for Disease Control said coronavirus symptoms can linger for weeks, even in healthy people who don’t have a severe case of the virus.

The CDC recently surveyed 292 people who tested positive, with 35-percent stating they were not back to their usual good health even two or three weeks after testing positive, according to a CNN report.

Older adults were most affected with prolonged symptoms, but young adults with underlying conditions also reported issues with recovery for a longer period.

Using data from Johns Hopkins University’s Coronavirus Resource Center, more than 4.145 million cases of coronavirus and 146,050 deaths have been reported in the U.S.

Health officials have continuously called for more testing to help slow the spread of the virus. Even individuals without symptoms can spread the virus, according to the report.

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The U.S. Food and Drug Administration on Friday authorized the first coronavirus test specifically designed to catch cases among asymptomatic individuals.

The FDA said LabCorp’s diagnostic test, known as COVID-19 RT-PCR, has been proven to detect the virus in asymptomatic people.

The emergency use authorization from the FDA also allows LabCorp to conduct pool testing, with up to five samples at once.

“By authorizing another test for use with pooled samples, we also further help increase the possibility that patients may be able to receive results sooner, while also conserving vital testing supplies, which are under increased demand during the pandemic,” FDA Commissioner Dr. Stephen M. Hahn said in a Friday release.

“Continuing to facilitate increased access to accurate and reliable tests for all Americans is critically important and the FDA continues to work around the clock with test developers to support this goal.”

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COVID symptoms

“COVID toes” and other skin symptoms may be a sign of coronavirus – CBS News

There is still much to learn about the novel coronavirus, including a wide range of symptoms that appears to be expanding. Common symptoms of the respiratory illness include fever, cough, shortness of breath and chills, but some doctors have reported less obvious symptoms in some patients — including what some are calling “COVID toes” and other skin ailments.

Esther Freeman, director of Global Health & Dermatology at Massachusetts General Hospital and an assistant professor a Harvard Medical School, said “COVID toe” cases look similar to pernio or chilblains, a condition of inflamed blood vessels caused by cold temperatures.

“We’re seeing this inflammatory response that we would normally see when someone was exposed to the cold temperature… like someone who has been playing outside with wet socks,” Freeman told CBS News. “However, in this setting, we’re seeing it in warm climates and we’re seeing it in patients who have been indoors and sheltering in place.”

Freeman said it’s not unusual for a virus to cause a rash, so most dermatologists aren’t surprised that COVID-19 could cause skin symptoms. “What is surprising to me are these ‘COVID toes,’ these pernio-like lesions…because we haven’t seen as many reports of these in other viruses.”

Freeman is a practicing dermatologist at Massachusetts General Hospital who has been seeing patients via tele-health video appointments. “I have seen more toes in the past two weeks in my clinic than I have in my entire previous career combined,” said Freeman, who is a member of American Academy of Dermatology (AAD) COVID-19 task force. 

Aside from seeing skin symptoms in her own patients, Freeman has also received examples of these symptoms from health care providers all over the world. The AAD COVID-19 task force set up an international registry for physicians to send in examples of dermatological manifestations of COVID-19, to help further the study of these symptoms. Physicians from 21 different countries have sent in information to the registry so far.

Freeman said “COVID toes” have been seen in both children and adults. They are sometimes present along with more typical coronavirus symptoms, and sometimes they are the only symptom the patient is experiencing. “Actually, about half of the registry is experiencing something other than toes,” Freeman said. 

Some physicians have also reported seeing skin conditions that look like morbilliform (measles-like) rashes, hives or chickenpox. 

In fact, one of the first case series of dermatologic manifestations included 18 Italian patients with several skin abnormalities including redness, hives and rashes, often on their torsos, Freeman and her colleagues write in the Journal of American Academy of Dermatology.

Freeman says her own patients tend to come to her with two main concerns. “The first thing they want to know is ‘My toes are purple, am I going to get really sick?’ I can be reassuring that most of the patients in our registry, most of the data that we’re looking at, are doing really very well,” Freeman said. “The second thing my patients want to know is, ‘Am I potentially infectious? Could I be infecting my family members?'”

Freeman said it is important to be cautious because some “COVID toe” patients might still be infectious and should talk to their doctor about getting a coronavirus test.

“The overall message I want to tell the public is not to panic,” Freeman said. “Most of our patients who have these ‘COVID toes’ are doing extremely well.”

“If you need to go to the ER because you’re otherwise sick or you have other symptoms you need to be evaluated for, that’s fine. But if the only symptom you have is purple toes, you don’t need to go rushing into the ER,” Freeman said, adding that if a patient does experience toe or skin abnormalities, they should talk to their physician. 

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A group of researchers from Belgium and Oregon published a study documenting a case of so-called “COVID toes” in a 23-year-old man.

JAAD


A team of dermatologists from Brussels, Belgium and and Portland, Oregon have also studied toe and skin infections in relation to COVID-19. In a case report published in JAAD, they say it’s important for dermatologists to recognize the signs.

The researchers write about a 23-year-old man who had “acute-onset” purplish and painful plaques on his toes and the outer side of his feet for three days. For several days before that, he’d also had a low-grade fever and dry cough.

After a complete skin examination, the patient tested positive for COVID-19. The researchers say he was diagnosed with “COVID-19 infection–induced chilblains,” the medical term for the skin sores. Similar cases have been observed by French and Belgian dermatologists, but had not been previously reported due to lack of testing, the researchers said.

“Young patients presenting with chilblains have lacked criteria sufficient to allow for a COVID-19 PCR test,” according to the study. “Because of the recent outbreak of chilblains, concurrent with the increase of COVID-19 cases, COVID-19 has been widely suspected as the etiology,” or cause, they write.

This study looked COVID-19 chilblains cases in children and young adults, whose feet have been more affected than their hands.

“Chilblains may be the inaugural symptom of COVID-19, and a fever and dry cough may be minimal or even absent,” according to the study.

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possible symptoms

CDC adds six new possible symptoms of coronavirus, including chills, headache – New York Post

April 27, 2020 | 9:51am | Updated April 27, 2020 | 11:13am

The US Centers for Disease Control and Prevention has updated its list of symptoms for the coronavirus, adding six new possible indicators of the deadly bug.

The CDC now recognizes chills, repeated shaking with chills, muscle pain, headache, sore throat and new loss of taste or smell as possible symptoms of COVID-19.

Previously, the public health institute associated the symptoms of fever, cough and shortness of breath or difficulty breathing with the disease.

“People with COVID-19 have had a wide range of symptoms reported — ranging from mild symptoms to severe illness,” the CDC says on its website, noting that the symptoms “may appear 2-14 days after exposure to the virus.”

CDC headquarters
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The CDC says emergency warning signs of COVID-19 include trouble breathing, persistent pain or pressure in the chest, new confusion or inability to arouse and bluish lips or face.

The agency advises that anyone experiencing those symptoms should seek medical attention immediately.

The coronavirus has infected more than 965,000 people in the US and has killed more than 54,000 in the nation, according to the latest data from the Johns Hopkins Coronavirus Resource Center.

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