07/01/2020    

RESPONSES/COMMENTS (RELEVANT RESEARCH) - PART 2

RE: COVID Toe” Lesions are Probably Not Caused by the SARS-CoV-2 Infection (Leonard Levy, DPM, MPH)                                                                                               From: Dennis Shavelson, DPM

Dr. Levy is a podiatric icon. He guided us as a dean of an allopathic medicine university for decades. He reports on the findings from an American Academy of Dermatology (AAD) Newsletter allowing him to conclude that “Covid Toe lesions are caused by people walking around barefoot at home for weeks while under lockdown” and not the virus. He cites two references that reject his conclusions. The “Spanish researchers” article states “All patients were included who had an eruption of recent onset and presenting with compatible symptoms or confirmed COVID-19 with laboratory confirmation of SARS-CoV-2, irrespective of clinical signs and symptoms.” The Belgian Study states “Limitations of this study include a small sample size and a population that may not be representative. There was also no control group and no long-term follow-up.”

 

A recent Journal of the European Academy of Dermatology and Venereology (JEADV) systematic review concluded that “Our review systematically presented the clinical characteristics of 507 patients and showed that skin might be the potential target of the infection according to ACE2 expression. I sit on the advisory board of “The COVID-19 Foot Registry”, composed mainly of DPMs. We are archiving the signs, symptoms, and treatments of Covid Toes cases anonymously, adding to the data of the AAD Covid Toes Dermatology Registry. I have dozens of cases that relate endovascular complications of COVID-19 to the feet and toes, suggesting that Dr. Levy’s post is a potential red herring.

 

Dennis Shavelson, DPM, NY, NY

Other messages in this thread:

---

05/12/2020    

RESPONSES/COMMENTS (RELEVANT RESEARCH) - PART 2

RE: Higher Risk of Incident Heart Failure in Older Adults with Gout

From: Leonard A. Levy, DPM, MPH

 

MedPage has (May 6, 2020) reported a study by Lisandro D. Colantonio, Kenneth G. Saag, et al., indicating that 4% of the U.S. population ('6 million men and '2 million women) are affected by gout. Furthermore, older individuals with gout were at increased risk for incident heart failure, but not for incident coronary heart disease or stroke or all-cause mortality.

 

Leonard A. Levy, DPM, MPH, Fort Lauderdale, FL