COVID-19 and Raynaud's: A Tale of Surgical Intervention
Wednesday, January 22, 2025
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Meet an 80-year-old gentleman who had a mild COVID-19 case. He didn't have severe symptoms like breathing issues or low oxygen levels. However, he ended up in the emergency department with swollen and blue fingers on both hands. They hurt a lot too! Despite his stable condition and normal overall health check, his blood tests showed signs of infection and high inflammation markers. Doctors decided to treat him with antibiotics, blood vessel relaxants, and pain medication.
Sadly, his condition got worse. The skin on his right hand started to die, so the doctor's plan changed. They started him on stronger medication and even considered surgery. The left hand improved with continued treatment, but the right hand needed special care. Doctors decided to prepare the wound for healing by preserving the tissue and eventually removing the affected fingers. Throughout his hospital stay, tests ruled out other possible causes like connective tissue diseases or blood clots.
This case shows how COVID-19 can trigger severe Raynaud's phenomenon, especially in older people with health issues. The quick progression and tough-to-treat nature of this condition underscore the need for early identification and strong management.