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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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common health problems during seasonal change

Seasonal changes bring relief from extreme weather, but they also pose unique challenges to human health. Transitions between summer, monsoon and winter often trigger a rise in illnesses. The body requires time to adapt to changing temperature, humidity and environmental conditions. During this adjustment period, immunity may weaken, making individuals more vulnerable to infections and other health problems.

Understanding common health problems during seasonal change helps individuals take preventive measures and seek timely care.

Why Seasonal Change Affects Health

Seasonal transitions impact the body in several ways:

sudden temperature fluctuations stress the immune system
humidity changes promote pathogen growth
allergens become more prevalent
lifestyle habits shift with weather

These factors collectively increase illness risk.

1. Respiratory Infections

Respiratory infections are among the most common health problems during seasonal change.

Causes

viral and bacterial growth in changing weather
increased indoor crowding
weakened respiratory defences

Symptoms

cough
sore throat
fever
nasal congestion

Children and elderly individuals are particularly vulnerable.

2. Common Cold and Flu

Seasonal transitions often coincide with cold and flu outbreaks.

Why They Increase

viruses survive longer in certain climates
immunity temporarily weakens
exposure increases during travel and gatherings

Symptoms

runny nose
sneezing
body aches
fatigue

3. Allergies

Seasonal allergies become prominent during weather shifts.

Common Triggers

pollen
dust
mould
air pollution

Symptoms

sneezing
itchy eyes
nasal congestion
throat irritation

Allergic symptoms can mimic infections and are often overlooked.

4. Digestive Problems

Digestive issues such as acidity, gas and indigestion are common during seasonal change.

Contributing Factors

altered eating patterns
contaminated food or water
reduced digestion efficiency

Symptoms

bloating
abdominal discomfort
nausea

5. Skin Problems

Changes in humidity and temperature affect skin health.

Common Issues

dryness
fungal infections
rashes

Poor skin barrier function increases infection risk.

6. Viral Fevers

Viral fevers are common during monsoon and post-monsoon periods.

Symptoms

sudden fever
body pain
headache
weakness

Early rest and hydration are essential.

7. Joint and Body Pain

Seasonal change may worsen joint stiffness and body aches, especially in individuals with arthritis.

Causes

cold weather
reduced physical activity
inflammation

Why Immunity Drops During Seasonal Change

Immunity may weaken due to:

temperature stress
vitamin deficiencies
poor sleep
increased stress

According to Indian Council of Medical Research data, immunity-related illnesses increase during transitional seasons.

Who Is Most at Risk?

High-risk groups include:

infants and children
elderly individuals
pregnant women
people with chronic diseases
individuals with low immunity

Extra care is required for these groups.
people with diabetes, heart disease,lung disease, kidney disease

Prevention of Seasonal Health Problems

Maintain Good Hygiene

Frequent handwashing reduces infection spread.

Support Immune Health

Balanced nutrition, hydration and adequate sleep strengthen immunity.

Stay Physically Active

Regular movement supports circulation and immune function.

Eat Fresh and Safe Food

Avoid stale or contaminated food during high-risk seasons.

Stay Vaccinated

Vaccination helps prevent seasonal flu and related complications.

Manage Allergens

Keep living spaces clean and well-ventilated.
mask use in crowded places, safe water, mosquito protection in monsoon.

Early Warning Signs Not to Ignore

Seek medical advice if experiencing:

persistent fever
breathing difficulty
severe weakness
worsening symptoms

Early intervention prevents complications.

Role of Preventive Healthcare

Preventive care focuses on:

early detection
risk reduction
long-term health protection

Seasonal health awareness is a key part of preventive medicine.

Long-Term Impact of Ignoring Seasonal Illness

Repeated seasonal illnesses may lead to:

chronic respiratory problems
weakened immunity
reduced quality of life

Prevention protects long-term health.

Conclusion

Common health problems during seasonal change include respiratory infections, colds, allergies, digestive issues and viral fevers. These conditions arise due to sudden weather changes, weakened immunity and increased exposure to pathogens. By understanding the causes and symptoms and adopting preventive measures such as good hygiene, balanced nutrition, adequate rest and timely medical care, individuals can significantly reduce seasonal illness risk. Seasonal transitions are inevitable, but proactive health practices ensure smoother adaptation and better wellbeing throughout the year.

References

Indian Council of Medical Research (ICMR) – Seasonal Disease Surveillance Report
National Family Health Survey (NFHS-5) – Immunity and Morbidity Data
World Health Organization (WHO) – Seasonal Illness Prevention Guideline
NITI Aayog – Preventive Healthcare and Climate Health Reports
Lancet – Climate Change and Seasonal Disease Patterns
Statista – Seasonal Illness Trends and Public Health Data

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