Clinical and Medical Imaging Findings of the Forefoot Following a COVID-19 Infection: A Case Report.

IF 0.5 4区 医学 Q4 ORTHOPEDICS Journal of the American Podiatric Medical Association Pub Date : 2024-07-01 DOI:10.7547/22-104
Dominick Casciato, Randall Thomas, Joshua Houser
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Abstract

Since the beginning of the SARS-CoV-2 pandemic, manifestations of the COVID-19 virus have been reported throughout the body, visible both clinically and radiographically. In the foot and ankle, one such phenomenon presents as cutaneous changes associated with neuralgia to the digits. Although rare, emerging reports described similar manifestations of COVID-19 in the foot, though limited to superficial structures. In this case report, we present a 52-year-old male experiencing burning pain and hyperpigmented lesions to the digits of his left foot 2 weeks prior to a formal diagnosis with COVID-19. Advanced imaging showed a third interspace neuroma as well as distal-to-proximal bone marrow edema in the distal phalanx of all digits, a pattern seen in vasculopathies, 4 weeks after diagnosis. In the absence of diabetes mellitus or peripheral vascular disease, the patient underwent a simple neurectomy. At the follow-up appointment 12 weeks after the initial encounter, his symptoms resolved. Our study reports a case describing osseous along with cutaneous manifestations in the foot of a patient with COVID-19.

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COVID-19 感染后前足的临床和医学影像检查结果:病例报告。
自 SARS-CoV-2 大流行开始以来,COVID-19 病毒的表现已遍布全身,在临床和影像学上均可见。在足部和踝部,其中一种表现为与手指神经痛相关的皮肤变化。尽管罕见,但新出现的报告也描述了 COVID-19 在足部的类似表现,不过仅限于浅表结构。在本病例报告中,我们介绍了一名 52 岁的男性,在被正式诊断为 COVID-19 前两周,他的左脚手指出现灼痛和色素沉着病变。诊断 4 周后,高级影像学检查显示其所有指骨远端均出现第三间隙神经瘤和从远端到近端的骨髓水肿,这在血管性疾病中很常见。在没有糖尿病或外周血管疾病的情况下,患者接受了简单的神经切除术。在初次就诊 12 周后的复诊中,他的症状得到了缓解。我们的研究报告了一个病例,该病例描述了 COVID-19 患者足部的骨性表现和皮肤表现。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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