Coronavirus: Skin Rash Can Be Only Covid
Three skin conditions are each identified by researchers as potentially the sole indicator of the illness.
Thursday 16 July 2020 00:44, UK
A skin rash can sometimes be the only symptom of people infected with COVID-19, a study has concluded.
Three types of rashes are identified in the research by King’s College London, leading those behind the study to call for skin rashes to be included as a fourth key symptom of COVID-19.
The three established symptoms of COVID-19, as recognised by the NHS, are a high temperature, a new and continuous cough, and a loss or change to your sense of smell or taste.
The study – which has been published online but has not yet been peer-reviewed – drew upon data from the 336,000 regular UK users of the COVID Symptom Study app.
With that data, researchers found 8.8% of people who tested positive for the virus suffered a skin rash among their symptoms, compared with 5.4% of those who tested negative.
Similar results were seen in a further 8.2% of users with a rash who did not have a coronavirus test, but still reported the three established COVID-19 symptoms: a cough, fever or loss of smell.
Other Symptoms Of Covid 19 Uk
Timeline Of Covid Symptoms Lloydspharmacy Online Doctor Uk
Surprising Research Findings On The Early Symptoms Of Covid 19
Is A Skin Rash A Symptom Of Covid 19
In Patients Of Covid 19 What Are The Symptoms And Clinical Features Of Mild And Moderate Cases The Centre For Evidence Based Medicine
Covid 19 Vaccines Vaccine Knowledge
Surprising Research Findings On The Early Symptoms Of Covid 19
University Students At Significant Risk For Mental Health Effects Of Covid 19 Lockdown
What Clinical Features Or Scoring System If Any Might Best Predict A Benefit From Hospital Admission For Patients With Covid 19 The Centre For Evidence Based Medicine
Coronavirus Faq Covid 19 Cases Maps Spread Symptoms And Death Rate
Covid 19 Cold Or Flu Symptoms Should I See A Doctor Science In Depth Reporting On Science And Technology Dw 14 10 2020
Surprising Research Findings On The Early Symptoms Of Covid 19
Severe Mental Illness And Risks From Covid 19 The Centre For Evidence Based Medicine
Researchers Isolated Three Types Of Covid
Covid Symptom ProjectA photo of a COVID-19 rash.
According to the study, researchers discovered that 8.8% of people reporting a positive coronavirus swab test had experienced a skin rash as part of their symptoms, compared with 5.4% of people with a negative test result. Similar results were seen in a further 8.2% of users with a rash who did not have a coronavirus test, but still reported classic COVID-19 symptoms, such as cough, fever or anosmia .
The researchers went as far as gathering images of the rashes from nearly 12,000 people who had suspected or confirmed COVID-19. The team particularly sought images from people of colour, who are currently under-represented in dermatology resources, they reported.
COVID Symptom ProjectCOVID-19 rash
They found these three rash types were associated with COVID-19:
Many viral infections can affect the skin, so its not surprising that we are seeing these rashes in COVID-19, says study author Dr Veronique Bataille, consultant dermatologist at St Thomas Hospital and Kings College London. However, it is important that people know that in some cases, a rash may be the first or only symptom of the disease. So if you notice a new rash, you should take it seriously by self-isolating and getting tested as soon as possible.
You May Like: How Long Cvs Covid Test Results
Skin Symptoms Are Often The First Or Only Symptom Of Covid
Roni Dengler, PhD
Angry red pinpricks, itchy hives, and purplish bruise-like spots on the skin often result from allergens or stress. Now, it appears that skin rashes may also signal COVID-19. Researchers discovered that skin rashes cluster with other symptoms of SARS-CoV-2 infection and predict a positive test result.
Our results suggest that skin manifestations should be included in the list of symptoms to look for when suspecting infection, Veronique Bataille, a dermatologist at Kings College London, who conducted the new research, wrote in an email.
Over the course of the pandemic, it became clear that infection with SARS-CoV-2 affected more than the lungs. Within the first few months, healthcare workers around the world noticed that patients had itchy, red welts, swelling of the face or lips, and red or purple sores or blisters on their feet or toes. During the first lockdown when people were at home with no testing and little support, there was a rising incidence of new skin rashes.
We were concerned that this was not picked up as a sign of COVID infection, Alessia Visconti, a genetic epidemiologist at Kings College London, who authored the new research with Bataille, wrote in an email.
Data collected from the app showed that the odds of testing positive for SARS-CoV-2 infection was 1.7 times higher with a skin manifestation compared with a lack of skin symptoms. The finding indicates that skin symptoms are better predictors of infection than fever.
What Are The Symptoms Of The Delta Variant
Symptoms of the Delta variant, which originated in India, are slightly different than those of the first variant that spread through the US.
“COVID is acting differently now. It’s more like a bad cold people might think they’ve just got some sort of seasonal cold,” Tim Spector, professor of epidemiology at King’s College London, explains in a video released on YouTube by the COVID Symptom Study. He explains that the number one top symptom for those with the Delta variant is headache, and this is followed by sore throat, runny nose, and fever. “Those are not the old, classic symptoms,” Spector says. “Number five is cough, it’s rarer.” He adds that loss of smell isn’t among the top 10 reported symptoms for those with the Delta variant.
If you’ve been vaccinated but experience a “breakthrough” infection, your symptoms are likely to be mild, if you have symptoms at all. That’s according to the CDC, which recently investigated a cluster of breakthrough infections in Provincetown, Massachusetts. Among 469 COVID cases, 347 were fully vaccinated and, of those, 274 reported signs and symptoms, mostly cough, headache, sore throat, muscle pain, and fever.
You May Like: How Long Does It Take For Cvs Covid Test Results
Clinical Features And Association With Covid
Livedo describes a reticulate pattern of slow blood flow, with consequent desaturation of blood and bluish cutaneous discoloration. It has been divided into: livedo reticularis, which develops as tight, symmetrical, lace-like, dusky patches forming complete rings surrounding a pale center, generally associated with cold-induced cutaneous vasoconstriction or vascular flow disturbances such as seen in polycythemia and livedo racemosa, characterized by larger, irregular and asymmetrical rings than seen in livedo reticularis, more frequently associated with focal impairment of blood flow, as it can be seen in Sneddons syndrome .
In our classification, the livedo reticularis/racemosa-like pattern has been distinguished by the purpuric vasculitic pattern because the former likely recognizes a occlusive/microthrombotic vasculopathic etiology, while the latter can be more likely considered the expression of a true vasculitic process . Instead, the classification by Galván Casas et al. merged these two patterns into the category livedo/necrosis.
The pathogenic mechanisms at the basis of small blood vessel occlusion are yet unknown, even if neurogenic, microthrombotic or immune complex-mediated etiologies have been postulated .
Livedo reticularis-like lesions are frequently mild, transient and not associated with thromboembolic complications . On the contrary, livedo racemosa-like lesions and retiform purpura have often been described in patients with severe coagulopathy .
Delayed Rash At The Injection Site
Some individuals may get a rash at the site of their injection. You may see this referred to as COVID arm.
This type of rash is most often associated with the Moderna COVID-19 vaccine and typically happens after the first dose. However, it can also occur after the second dose or after both doses.
Delayed rashes at the injection site typically appear about a week after vaccination and last . This rash can be large and include symptoms like:
Also Check: How Long Cvs Covid Test Results
Kiss Less Face Away: Your Guide To Covid
In some cases the rash can occur on its own, the study found, without any other symptoms of the virus such as a continuous cough, fever, or loss of smell. Almost one in five who had tested positive for coronavirus reported a rash as the first symptom of the disease. Among those who reported a rash and were confirmed as having coronavirus 21% said it was their only symptom.
The NHS only lists three symptoms of coronavirus. These are: a high temperature, new and continuous cough, and a loss or change to your sense of smell or taste. Rashes arent widely considered to be a symptom of the virus.
We asked researchers from the Covid Symptom Study to share photos of the rashes that have regularly showed up in coronavirus patients.
Many Viral Infections Can Affect The Skin
Doctors and researchers from around the world also have reported about other types of skin rashes among Covid-19 patients.
Covid-19 often triggers significant inflammation in its victims, in some cases producing the so-called cytokine storm that appears to be causing the worst damage in advanced patients.
Read Also: Did Hank Aaron Get Covid Vaccine
Is Skin Rash A Covid
The most common and widely known symptoms of covid-19 are fever, dry cough, sore throat, fatigue etc. But recently, a few newly emerging symptoms are being seen too. One of them is rashes on your skin. Researchers observed many covid-19 patients to have skin rashes at the early stage of the disease.
These can occur in almost every part of the body. Many patients experienced rashes on their back and stomach. Few had rashes in the mouth and on their feet. Reports suggest that doctors working closely with covid-19 patients noticed skin rashes as a symptom of covid-19. Of the 88 corona positive patients being treated, 20% developed skin rashes. In 50% of the cases, rashes emerged along with other early signs, while in other cases rashes developed later.
Another report claims that patients in Thailand were mistaken to be suffering from dengue fever as they had open blood vessels, a common skin rash for dengue. Later on, these patients tested positive for covid-19. Also, recent reports state that many covid positive patients have skin rashes like open blood vessels.
Even though many doctors and scientists have confirmed skin rashes as one of the symptoms of covid-19, no specific types of skin rashes were mentioned. This is because, skin rashes due to covid-19 virus can occur in many forms and over different parts of your body.
Rashes Linked With Sars
Of the 2,021 app users who tested positive for SARS-CoV-2, 8.8% reported skin-related changes, 6.8% reported body rashes, and 3.1% reported rashes on the hands or feet, which are called acral rashes.
The authors note that only 1.1% of this group experienced both body and acral rashes, suggesting that the two occur for different reasons, the researchers believe.
The body rashes, they theorize, might be caused by immunological reactions to the virus, whereas acral rashes could result from blood clots or damaged blood vessel walls.
In the group of untested symptomatic users who reported at least one of the main symptoms of COVID-19, the results were similar, with 8.2% reporting skin changes.
From the independent survey of 11,544 participants, the researchers analyzed the timing of skin changes.
According to the analysis of survey respondents who had tested positive for SARS-CoV-2 and experienced skin changes, 47% of these changes appeared at the same time as other COVID-19 symptoms. For 35% of the respondents, skin changes developed after other symptoms had started.
For 17% of the participants in this group, a rash appeared before other symptoms. And, interestingly, in 21% of participants, a rash was the only symptom.
Using the photos of the participants rashes, the scientists identified the most common types, which were:
- papular rashes small, raised bumps
- urticaria red, itchy welts
- acral rashes lesions on the hands or feet
Recommended Reading: Did Hank Aaron Get Covid Vaccine
Covid Toes Rashes: How The Coronavirus Can Affect Your Skin
If you develop a rash, tell your doctor
A rash may be a sign of COVID-19. A rash can also be a sign of another disease.
If youre on the lookout for symptoms of COVID-19, youre likely watching for a dry cough, fever, and shortness of breath. You may also want to check your skin.
While less common, the coronavirus can affect your skin. For some people, this may be the only sign of a coronavirus infection.
How Long Does Novel Coronavirus Last In A Person
How long the symptoms last depends on the severity of the case. With more mild cases , people tend to get better on their own in 10 to 14 days, Dr. Harry explains.
In severe cases, the virus may travel to the lungs and cause pneumonia, and the symptoms may last longer. These individuals are usually hospitalized and treated aggressively and symptomatically until symptoms resolve, Dr. Harry explains. In those cases, she says, doctors will run a CT scan of the lungs to see how the virus is affecting the lungs, and to determine whether or not its improving or getting worse.
You May Like: How Long Does It Take To Get Covid Results From Cvs
Covid Fingers And Toes
This is the most specific COVID rash as not many other skin conditions present in this way. It is known as chilblains and was relatively rare before COVID as it was seen mainly during cold spells and in people who had some problems with circulation in the fingers or toes. At the outset of COVID, however, dermatologists started to notice this type of rash much more than normal and in warm weather which seemed very unusual.
Eventually the link with COVID was made and this rash tends to be more common in younger people. The rash presents itself as reddish and purplish bumps on the fingers or toes and can affect many digits. This type of rash is usually present later in the infection and again may appear weeks after the onset of the viral infection. The fingers and toes are usually sore, but not itchy. When the rash recovers, the top layers of the skin may peel where the purplish bumps were.
S Of Rashes Associated With Covid
Below are some examples of what COVID-19 rash can look like.
Researchers dont understand why some people with COVID-19 get a rash and others do not. They also dont know what exactly causes the rash to occur. Some possible mechanisms include:
- direct infection of skin tissues by the novel coronavirus
- immune system activity
- the effects of increased blood clotting that can sometimes happen in COVID-19
Its also possible that different types of COVID-19 rash will happen through different mechanisms. Researchers are working to find out more.
Its also possible to get a rash after receiving your COVID-19 vaccine. Lets look at this in a little more detail.
Recommended Reading: How Long Cvs Covid Test Results
Types Of Rashes That Can Be A Sign Of Covid
One study found that a rash was the only symptom of COVID for 21% of patients.
In the beginning days of the pandemic, there was focus on three main signs of COVID-19: fever, cough, and shortness of breath. But as experts began to better understand the disease, it became clear that there are many health changes that could indicate someone has the virusnew loss of taste or smell, diarrhea, and headache just to name a few. Currently, the Centers for Disease Control and Prevention lists more than 10 symptoms that may signal a COVID-19 infection. The list is not exhaustive, though, and the CDC says it will continue to update the list as they learn more about the disease.
One such potential sign of COVID-19 that isn’t included on the list is skin rashes.
According to a recent study published in the British Journal of Dermatology, there is significant association between skin rashes and a positive COVID-19 swab test result. Researchers made that determination by looking at information from 336,847 people in the UK who had uploaded their health history, including any COVID-19 test results and symptoms, to the COVID Symptom Study app. The app data showed that, among those who had a positive swab test result, 8.8% also reported skin rashes.
The Global Coronavirus Infection Numbers In Real Time
Lead author Dr Veronique Bataille, consultant dermatologist at St Thomas’ Hospital and King’s College London, said: “Many viral infections can affect the skin, so it’s not surprising that we are seeing these rashes in COVID-19.
“However, it’s important that people know that in some cases, a rash may be the first or only symptom of the disease.
“So if you notice a new rash, you should take it seriously by self-isolating and getting tested as soon as possible.”
Although COVID-19 is often thought of as a virus that affects the respiratory system, rashes had been reported in a number of cases among people in China and elsewhere in Europe who had needed hospital treatment for severe symptoms of the disease.
However, this is the first and largest study to systematically gather data about skin rashes in milder cases across the wider population.
Consultant dermatologist Dr Justine Kluk said: “These findings highlight the importance of keeping an eye on any new changes in your skin, such as lumps, bumps or rashes.
“Early reporting of COVID-associated rashes by members of the public and recognition of their significance by frontline healthcare practitioners – such as GPs, NHS 111 and hospital staff – may increase the detection of coronavirus infections and help to stop the spread.”
You May Like: How Long Cvs Covid Test Results