Herpes, hair fall, nail issues: Doctors caution about post-Covid dermatological problems
New Delhi: From reactivation of herpes infection to loss of hair, several Covid patients in recovery phase are facing one dermatological complication or another due to lowered immunity, say doctors.
Skin care experts at leading facilities in Delhi, Mumbai and other cities concurred that coronavirus patients even after being discharged from hospitals or having finished their home quarantine period should watch out for any skin inflammation or consult a doctor immediately if "it grows uncontrollably".
Dr D M Mahajan, senior consultant, dermatology, Indraprastha Apollo Hospitals in Delhi, says many post-Covid patients with skin complications are rushing to OPDs, fearing they have contracted mucormycosis or black fungus but people should be cautious not paranoid.
"Several Covid patients in recovery phase are facing skin complications and the most common one being reported to us are cases of herpes. In many patients with a history of herpes it is get retriggered and in others they are just contracting it afresh, both due to lowered immunity," he told PTI.
Infection with herpes simplex virus, commonly known as herpes, can be due to either herpes simplex virus type 1 (HSV-1) or herpes simplex virus type 2 (HSV-2). Herpes labialis which occurs around the lip area with lesions in cluster preceded by burning pain is caused by HSV.
Herpes zoster is viral infection that occurs with reactivation of the varicella-zoster virus. It is usually a painful but self-limited dermatomal rash.
Skin experts, who are seeing post-Covid patients, say cases of herpes zoster are being reported more than herpes from HSV.
Mahajan said cases of infection from Candida fungus have also been seen among the Covid patients who are in recovery phase. It is a mould like infection and can result from excessive medication or use of steroids. This infection can cause white patches on genitalia.
Candidiasis is a fungal infection caused by a yeast (a type of fungus) called Candida.
Mumbai-based dermatologist and hair transplant surgeon Dr Sonali Kohli said COVID-19 compromises the immunity of a patient leading to multifarious complications, including in skin, hair and nails.
"Though there is no clinical study to correlate the two but herpes infection is being reported in large number of Covid patients during recovery phase even a month later. Besides hair loss and nail complications are too happening with many patients," she said.
As far as nail complications are concerned, cases of melanonychia or Beau's lines are also being seen in such patients. Melanonychia entails whitish or brown lines on nails, she said.
Kohli, consultant dermatologist, Sir H N Reliance Foundation Hospital in Mumbai, said patients should consult a specialist if hair loss persists.
Nikhita Kumar, 24, a Delhi-based student, who is recovering from Covid contracted in April, said, she had suffered "copious loss of hair in the initial days of recovery".
"I had consulted a dermatologist who prescribed some serum. He had said it will subside in a month or two. Also, while reading online on post-Covid complications, I found out that a famous Bollywood actress too had suffered hair loss after Covid," she said.
Dr Nidhi Rohtagi, senior consultant, dermatology at Fortis hospital, Vasant Kunj, said post-Covid hair loss is being seen more in women.
"Patients suffer skin complications during treatment too and during recovery may still exhibit some sort of inflammation or spots on forehead or back. But many times these are simple, self-limiting rashes which subside with time after applying appropriate ointment," she said.
But post-Covid patients need to watch out for "invasive" inflammations on skin and immediately consult a doctor if it increases and causes pain or serious discomfort, Rohtagi said.
"The other skin infection being seen in such patients is of pityriasis rosa, in which a mother patch of infection occurs on parts of the body with baby patches around it," she said.
In some patients, cases of 'Covid toes' is also being seen in which ulcer or necrosis occurs on the tip of a toe and the neighbouring toe, the doctor said.
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Sujit Nair raises concerns over speculation of DMK-AIADMK understanding to block TVK
Chennai: Journalist and political commentator Sujit Nair has expressed concern over speculation that the Dravida Munnetra Kazhagam and the All India Anna Dravida Munnetra Kazhagam could explore a post-poll understanding to prevent Vijay-led Tamilaga Vettri Kazhagam from forming the government in Tamil Nadu.
In a social media post, Sujit Nair said the election verdict in Tamil Nadu reflected a clear public demand for political change and argued that the mandate should be respected irrespective of political preferences.
Referring to reports and political discussions surrounding a possible understanding between the DMK and AIADMK, he said he hoped such developments remained only speculative conversations and did not turn into reality.
Nair stated that if such an alliance were to take shape, it would raise serious questions about ideological politics in the country. He said TVK had emerged through a democratic electoral process and that the legitimacy to govern in a parliamentary democracy comes from the people’s verdict.
According to him, attempts to prevent an electoral winner from forming the government through unexpected political arrangements may be constitutionally valid, but many people could view them as politically opportunistic.
He further said that such a move could particularly affect the political image of the DMK, which has historically projected itself around ideology, social justice and opposition politics. Nair said that in ideological terms, the DMK appeared closer to TVK than to the AIADMK, and joining hands with its long-time political rival only to remain in power could weaken its broader political narrative.
He added that the same questions would apply to the AIADMK as well, as the party had spent decades positioning itself against the DMK and such an arrangement could create discomfort among its cadre and supporters.
Drawing a comparison with Maharashtra politics in 2019, Nair said he had expressed similar views when the Shiv Sena formed an alliance with the Indian National Congress and the Nationalist Congress Party after the Assembly elections.
He said post-poll alliances between long-standing political rivals often create a public perception that ideology and electoral mandates become secondary when political power equations come into play.
Nair also said such developments increase public cynicism towards politics and reinforce the belief among voters that ideology is often sidelined after elections.
He maintained that the Tamil Nadu verdict was emphatic and said respecting both the spirit and substance of the mandate was important for the credibility of democratic politics.
