{"id":44712,"date":"2022-02-15T08:00:00","date_gmt":"2022-02-15T08:00:00","guid":{"rendered":"https:\/\/nailknowledge.org\/?p=44712"},"modified":"2024-09-02T21:59:53","modified_gmt":"2024-09-02T21:59:53","slug":"covid-19-disturbios-das-unhas","status":"publish","type":"post","link":"https:\/\/nailknowledge.org\/pt\/blog\/covid-19-nail-disorders","title":{"rendered":"COVID-19 Dist\u00farbios das unhas"},"content":{"rendered":"<p>A COVID-19 causa dist\u00farbios nas unhas?<br>The short answer is yes, it does. But let\u2019s see what the latest scientific findings report about it.<\/p>\n\n\n\n<p>A nova infec\u00e7\u00e3o viral surgiu em 2019 e rapidamente se espalhou por todo o mundo.<br>The initial scientific studies of the new viral nature have led to clear conclusions that the virus causes acute respiratory distress syndrome with a severe impact on cardiovascular and pulmonary systems. Further studies have shown that the virus attacks all systems, including the brain, inner organs, immune system, nerves, blood vessels, and the reproductive system in men. Thus, COVID is currently seen as a systemic infection. Later, the consequences of the active infection were determined in the form of the so-called post-COVID syndrome, which can last from several weeks to several months and even longer. The skin and its appendages, including nails, are clearly involved in many cases.&nbsp;<\/p>\n\n\n\n<p>The major outcome caused by COVID is microvascular disturbances when the virus affects the wall of microscopic blood vessels in the skin and in the living parts of the fingernails. In turn, the affected blood vessels don\u2019t perform their physiological function \u2013 the quality of blood supply to the organs. The impaired function appears in a form of many well-known symptoms that also can be the symptoms of many other diseases \u2013 onycholysis, onychomadesis, leukonychia, etc. So, if your client who has recovered from the recent COVID infection has some unusual or massive symptoms \u2013 be prepared, it can be the symptoms of the post-COVID syndrome.&nbsp;<\/p>\n\n\n\n<p>One of the common conditions caused by COVID even has its own name \u2013 Covid Toe or Covid Finger. It looks like swollen red nail folds around the nail bed. It is often accompanied by onycholysis or leukonychia. Interestingly, these adverse symptoms are followed by a mild or even asymptomatic course of COVID. Sometimes hematoma-like lesions and hyperkeratosis of the nail bed are also signs of COVID toe or finger. Severe cases look very similar to frostbites of the fingers if the thrombosis and inflammation of the blood vessels are present.&nbsp;<br>Surprisingly, the latest studies reveal the fact that some vaccines (Pfizer, Moderna) can cause the COVID toe or Finger in some people too several days after vaccination. The good news is that the condition spontaneously disappears after a couple of weeks.&nbsp;<\/p>\n\n\n\n<p>Another condition is Periungual desquamation. The symptom looks very similar to acute <a href=\"https:\/\/nailknowledge.org\/pt\/base-de-conhecimento-sobre-unhas\/onicolise-2\/\">onic\u00f3lise<\/a> when nail plates detach from the nail bed. This is also a sign of very severe COVID among adults recovering from the COVID multisystemic inflammatory syndrome.<\/p>\n\n\n\n<p><br>All sorts of discoloration are also often reported in the studies. They can manifest in the form of red-white discoloration with onycholysis. Sometimes, discolorations of lunula occur during severe COVID. This symptom has been described as a red-violet band surrounding the distal margin of the nail lunula and has its own name. It is known as a \u201cred half-moon sign\u201d. In many cases, the COVID discolorations are observed in adult patients or seniors. So-called \u201cdistal orange discolorations\u201d have been described in the studies as a delayed response several weeks after COVID disease. This sign is a flag for a nail tech&#8217;s attention since the client with an orange discoloration should be referred to the doctor, because the orange discoloration can be a symptom of post-COVID anemia. However, you can perform the regular manicure or pedicure and apply the nail polish to camouflage the discolorations. Unfortunately, there is no specific treatment for the post covid nail conditions.&nbsp;<\/p>\n\n\n\n<p>Healthcare professionals often reported the type of occupational nail changes, which occur due to the protective measures (gloves) in clinics during the COVID pandemic. The condition is well known to nail techs too \u2013 it is a bacterial disease caused by Pseudomonas Aeruginosa and called the \u201cgreen nail syndrome\u201d.&nbsp;&nbsp;It appears on healthy natural nails. The nail folds can be involved in the pathological process, too, and loss of the <a href=\"https:\/\/nailknowledge.org\/pt\/base-de-conhecimento-sobre-unhas\/cuticula\/\"  data-wpil-monitor-id=\"39\">cut\u00edcula da unha<\/a> \u00e9 o principal sinal dessa inflama\u00e7\u00e3o.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Unfortunately, COVID as any systemic disease attacks many organs in humans. Now we can see that skin and its appendages are not an exclusion. Regretfully, medical science merely didn\u2019t have enough time to elaborate on the specific treatment for all the nail and skin lesions associated with COVID. At least the recent studies show us the path and hope for the specific cure soon.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"eager\" fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/nailknowledge.org\/wp-content\/uploads\/2022\/02\/covid 19 nails-1024x768.jpg\" alt=\"\" class=\"wp-image-44732\" srcset=\"https:\/\/nailknowledge.org\/wp-content\/uploads\/2022\/02\/covid%2019%20nails-1024x768.jpg 1024w, https:\/\/nailknowledge.org\/wp-content\/uploads\/2022\/02\/covid%2019%20nails-600x450.jpg 600w, https:\/\/nailknowledge.org\/wp-content\/uploads\/2022\/02\/covid%2019%20nails-300x225.jpg 300w, https:\/\/nailknowledge.org\/wp-content\/uploads\/2022\/02\/covid%2019%20nails-768x576.jpg 768w, https:\/\/nailknowledge.org\/wp-content\/uploads\/2022\/02\/covid%2019%20nails-1536x1152.jpg 1536w, https:\/\/nailknowledge.org\/wp-content\/uploads\/2022\/02\/covid%2019%20nails-2048x1536.jpg 2048w, https:\/\/nailknowledge.org\/wp-content\/uploads\/2022\/02\/covid%2019%20nails-16x12.jpg 16w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption>Pregos COVID<\/figcaption><\/figure>\n\n\n\n<p>A literatura que foi usada para esta an\u00e1lise:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Galv\u00e1n Casas C, Catal\u00e0 A, Carretero Hern\u00e1ndez G, et al. Classification of the cutaneous manifestations of COVID-19: a rapid prospective nationwide consensus study in Spain with 375 cases. Br J Dermatol.<\/li><li>Geizhals S, Lipner SR. S\u00e9rie de casos retrospectivos sobre fatores de risco, diagn\u00f3stico e tratamento de infec\u00e7\u00f5es de unhas por Pseudomonas aeruginosa. Am J Clin Dermatol. 2020<\/li><li>Chernyshov PV, Kolodzinska L. Prospective study on hand dermatitis in nurses and doctors during COVID-19 pandemic and its improvement by use of adopted recommendations of the European academy of dermatology and venereology task force on contact dermatitis. Dermatol Ther. 2020&nbsp;<\/li><li>Larenas-Linnemann D, Luna-Pech J, Navarrete-Rodr\u00edguez EM, et al. Cutaneous manifestations related to COVID-19 immune dysregulation in the pediatric age group. Curr Allergy Asthma Rep. 2021<\/li><li>Wollina U, Karadag AS, Rowland-Payne C, Chiriac A, Lotti T. Sinais cut\u00e2neos em pacientes com COVID-19: uma revis\u00e3o. Dermatol Ther. 2020<\/li><li>Wollina U, Chiriac A, Karadag AS. O espectro dermatol\u00f3gico da doen\u00e7a COVID-19: sinais cut\u00e2neos para diagn\u00f3stico e progn\u00f3stico e uma classifica\u00e7\u00e3o ampliada. Acesso aberto Maced J Med Sci. 2020<\/li><li>Ocampo-Garza SS, Ocampo-Candiani J, Camela E, et al. Nail changes as manifestation of systemic disease in COVID-19 infection. J Eur Acad Dermatol Venereol. 2021<\/li><li>Natalello G, De Luca G, Gigante L, et al. Nailfold capillaroscopy findings in patients with coronavirus disease 2019: broadening the spectrum of COVID-19 microvascular involvement. Microvasc Res. 2021;<\/li><li>Gomez-Fern\u00e1ndez C, Lopez-Sundh AE, Gonz\u00e1lez-Vela C, et al.&nbsp; High prevalence of cryofibrinogenemia in patients with chilblains during the COVID-19 outbreak. Int J Dermatol. 2020<\/li><li>Kanitakis J, Lesort C, Danset M, Jullien D. Chilblain-like acral lesions during the COVID-19 pandemic (\u201cCOVID toes\u201d): histologic, immunofluorescence, and immunohistochemical study of 17 cases. J Am Acad Dermatol. 2020<\/li><li>Discepolo V, Catzola A, Pierri L, et al. Bilateral chilblain-like lesions of the toes characterized by microvascular remodeling in adolescents during the COVID-19 pandemic. JAMA Netw Open. 2021<\/li><li>H\u00e9bert V, Duval-Modeste AB, Joly P, et al. Lack of association between chilblains outbreak and severe acute respiratory syndrome coronavirus 2: histologic and serologic findings from a new immune assay. J Am Acad Dermatol. 2020<\/li><li>Koschitzky M, Oyola RR, Lee-Wong M, Abittan B, Silverberg N. Pediatric COVID toes and fingers. Clin Dermatol. 2021<\/li><li>Kashetsky N, Mukovozov IM, Bergman J. Chilblain-like lesions (cll) associated with COVID-19 (\u201cCOVID toes\u201d): a systematic review. J Cutan Med Surg. 2021<\/li><li>Daneshjou R, Rana J, Dickman M, Yost JM, Chiou A, Ko J. Erup\u00e7\u00e3o do tipo perni\u00f3tico associada \u00e0 COVID-19 em pele de cor. JAAD Case Rep. 2020<\/li><li>de Masson A, Bouaziz JD, Sulimovic L, et al. Chilblains is a common cutaneous finding during the COVID-19 pandemic: a retrospective nationwide study from France. J Am Acad Dermatol. 2020<\/li><li>K\u00f6nig N, Fiehn C, Wolf C, et al. Familial chilblain lupus due to a gainof-function mutation in STING. Ann Rheum Dis. 2017<\/li><li>Chaudhary H, Mohan M, Jain A, et al. Acral gangrene: ugly cousin of \u201cCOVID toes\u201d in multisystem inflammatory syndrome in children associated with SARS-COV-2 Pediatr Infect Dis J. 2021<\/li><li>Asakura H, Ogawa H. COVID-19-associated coagulopathy and disseminated intravascular coagulation (Coagulopatia associada \u00e0 COVID-19 e coagula\u00e7\u00e3o intravascular disseminada). Int J Hematol. 2021<\/li><li>Michaud M, Pourrat J. Cryofibrinogenemia. J Clin Rheumatol. 2013&nbsp;<\/li><li>Feldstein LR, Tenforde MW, Friedman KG, et al. Caracter\u00edsticas e resultados de crian\u00e7as e adolescentes dos EUA com s\u00edndrome inflamat\u00f3ria multissist\u00eamica em crian\u00e7as (MIS-C) em compara\u00e7\u00e3o com COVID-19 aguda grave. Jama. 2021<\/li><li>Nakamoto T, Ishikane M, Sasaki R, Ohmagari N. Descama\u00e7\u00e3o periungueal em um adulto japon\u00eas em recupera\u00e7\u00e3o de COVID-19 grave. Int J Infect Dis. 2021<\/li><li>Abrams JY, Oster ME, Godfred-Cato SE, et al. Fatores associados a resultados graves na s\u00edndrome inflamat\u00f3ria multissist\u00eamica em crian\u00e7as (MIS-C) nos EUA: um estudo de vigil\u00e2ncia retrospectivo. Lancet Child Adolesc Health. 2021;5(5):323-331.<\/li><li>Wolf GK, French LE. Beau-lines das unhas em associa\u00e7\u00e3o com infec\u00e7\u00f5es pedi\u00e1tricas por SARS-CoV-2. J Dtsch Dermatol Ges. 2021;19(5): 744-745.<\/li><li>Ide S, Morioka S, Inada M, Ohmagari N. <a href=\"https:\/\/nailknowledge.org\/pt\/base-de-conhecimento-sobre-unhas\/melanoniquia-2\/\">Beau&#8217;s lines<\/a> e leucon\u00edquia em um paciente com COVID-19. Intern Med. 2020;59(24):3259.<\/li><li>Alobaida S, Lam JM. <a href=\"https:\/\/nailknowledge.org\/pt\/base-de-conhecimento-sobre-unhas\/linhas-de-base-2\/\">Linhas de Beau<\/a> associada \u00e0 COVID-19. CMAJ. 2020;192(36):E1040.<\/li><li>Senturk N, Ozdemir H. Onicomadese ap\u00f3s infec\u00e7\u00e3o por COVID-19: existe uma rela\u00e7\u00e3o? Dermatol Ther. 2020;33(6):e14309.<\/li><li>Hadeler E, Morrison BW, Tosti A. Uma revis\u00e3o dos achados nas unhas associados \u00e0 infec\u00e7\u00e3o por COVID-19. J Eur Acad Dermatol Venereol. 2021. <a href=\"https:\/\/doi.org\/10.1111\/jdv.17448\">https:\/\/doi.org\/10.1111\/jdv.17448<\/a><\/li><li>Demir B, Yuksel EI, Cicek D, Turkoglu S. Descolora\u00e7\u00e3o heterog\u00eanea vermelho-branca do leito ungueal e onic\u00f3lise distal em um paciente com COVID<\/li><li>Wollina U, Kanitakis J, Baran R. Nails and COVID-19 \u2013 A comprehensive review of clinical findings and treatment. Dermatologic Therapy.<\/li><\/ul>","protected":false},"excerpt":{"rendered":"<p>Does COVID-19 cause nail disorders?The short answer is yes, it does. But let\u2019s see what the latest scientific findings report about it. The new viral infection emerged in 2019 and quickly spread all over the globe.The initial scientific studies of the new viral nature have led to clear conclusions that the virus causes acute respiratory [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":44751,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_focuskw":"COVID-19 Nail Disorders","_yoast_wpseo_metadesc":"Does COVID-19 cause nail disorders?The short answer is yes, it does. But let\u2019s see what the latest scientific findings report about it.","_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[74],"tags":[],"class_list":{"0":"post-44712","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-nail-conditions","8":"entry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>COVID-19 Nail Disorders - NailKnowledge<\/title>\n<meta name=\"description\" content=\"Does COVID-19 cause nail disorders?The short answer is yes, it does. 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A resposta curta \u00e9 sim, ela causa. Mas vamos ver o que as \u00faltimas descobertas cient\u00edficas relatam sobre isso.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/nailknowledge.org\/pt\/blog\/covid-19-disturbios-das-unhas\/","og_locale":"pt_BR","og_type":"article","og_title":"COVID-19 Nail Disorders - NailKnowledge","og_description":"Does COVID-19 cause nail disorders?The short answer is yes, it does. But let\u2019s see what the latest scientific findings report about it.","og_url":"https:\/\/nailknowledge.org\/pt\/blog\/covid-19-disturbios-das-unhas\/","og_site_name":"NailKnowledge","article_published_time":"2022-02-15T08:00:00+00:00","article_modified_time":"2024-09-02T21:59:53+00:00","og_image":[{"width":1280,"height":720,"url":"https:\/\/nailknowledge.org\/wp-content\/uploads\/2022\/02\/COVID-19-Nail-Disorters-blog-banner.jpg","type":"image\/jpeg"}],"author":"Vitaly Solomonoff","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Vitaly Solomonoff","Est. tempo de leitura":"7 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/nailknowledge.org\/blog\/covid-19-nail-disorders#article","isPartOf":{"@id":"https:\/\/nailknowledge.org\/blog\/covid-19-nail-disorders"},"author":{"name":"Vitaly Solomonoff","@id":"https:\/\/new.nailknowledge.org\/#\/schema\/person\/bf7ccdbe45dae89b5e5c040494aa6d62"},"headline":"COVID-19 Nail Disorders","datePublished":"2022-02-15T08:00:00+00:00","dateModified":"2024-09-02T21:59:53+00:00","mainEntityOfPage":{"@id":"https:\/\/nailknowledge.org\/blog\/covid-19-nail-disorders"},"wordCount":1450,"publisher":{"@id":"https:\/\/new.nailknowledge.org\/#organization"},"image":{"@id":"https:\/\/nailknowledge.org\/blog\/covid-19-nail-disorders#primaryimage"},"thumbnailUrl":"https:\/\/nailknowledge.org\/wp-content\/uploads\/2022\/02\/COVID-19-Nail-Disorters-blog-banner.jpg","articleSection":["Nail Conditions"],"inLanguage":"pt-BR"},{"@type":"WebPage","@id":"https:\/\/nailknowledge.org\/blog\/covid-19-nail-disorders","url":"https:\/\/nailknowledge.org\/blog\/covid-19-nail-disorders","name":"Dist\u00farbios das unhas causados pela COVID-19 - NailKnowledge","isPartOf":{"@id":"https:\/\/new.nailknowledge.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/nailknowledge.org\/blog\/covid-19-nail-disorders#primaryimage"},"image":{"@id":"https:\/\/nailknowledge.org\/blog\/covid-19-nail-disorders#primaryimage"},"thumbnailUrl":"https:\/\/nailknowledge.org\/wp-content\/uploads\/2022\/02\/COVID-19-Nail-Disorters-blog-banner.jpg","datePublished":"2022-02-15T08:00:00+00:00","dateModified":"2024-09-02T21:59:53+00:00","description":"A COVID-19 causa dist\u00farbios nas unhas? A resposta curta \u00e9 sim, ela causa. 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