International collaboration has been key in understanding the disease, and has led to the creation of well-organized national and international study groups. The impact of COVID-19 stretches well beyond the toll of clinical cases alone, with paradigm changing shifts in research, clinical care and public policy. ![]() Three years into the pandemic, there are more than 4200 publications in PubMed on ‘COVID-19 and skin’, as of March 2023. 2 Longer-term skin manifestations may include chronic urticaria, recurrent pernio, telogen effluvium, capillaritis and exacerbation of pre-existing skin conditions such as eczema and seborrhoeic dermatitis, as well cutaneous changes attributable to the different COVID-19 vaccines. Since then, the dermatological literature has provided descriptions of other skin manifestations and research papers on pathogenesis and immunology, treatment and the after-effects of infection or post-COVID syndrome (long COVID). 1 It included a classification of dermatological manifestations seen in 375 patients: pseudo-chilblains urticaria maculopapular eruptions other vesicular eruptions and livedo and necrosis. In May 2020 the BJD published the first comprehensive analysis of cases seen by Spanish dermatologists that categorized the different changes seen in the skin as a result of COVID-19. However, new variants continue to emerge and ‘long COVID’ continues to cause significant morbidity across the world.Įarly observations by dermatologists were key in identifying novel signs and symptoms of COVID-19. As of 24 April 2023, over 13.3 billion doses of COVID-19 vaccine have been administered, which, along with other public health measures, have slowed the pandemic. Worldwide, more than 764 million people have been affected by the virus and more than 6.9 million people have died as a result of infection, as of 26 April 2023 ( ). On 11 March 2020, the World Health Organization declared that infections caused by the coronavirus SARS-CoV-2 had reached the status of a pandemic. Over the following 3 months it had spread throughout most of the world, with all countries introducing emergency measures. You will be given a unique code to register on your computer, tablet device or smart phone.In early 2020 there were reports of a new and potentially fatal viral infection affecting large numbers of people in Wuhan, China. You need to be referred to the programme by a healthcare professional. The ‘ Your COVID Recovery programme’ is an online recovery programme to support you while you recover from the long-term effects of COVID-19. People who had mild symptoms at first can still have long-term problems. The chances of having long-term symptoms does not seem to be linked to how ill you are when you first get COVID-19. Some symptoms can improve quickly and others last longer. How long it takes to recover from COVID-19 is different for everybody. ![]() If you have mental health symptoms, such as anxiety or depression, find out how you can access NHS mental health support services. ![]() These services can help manage your symptoms and help you recover. If the symptoms are having a big impact on your life, you may be referred to a specialist service, rehabilitation service or a service that specialises in the specific symptoms you have. You may be given advice about how to manage and monitor your symptoms at home. The GP will talk to you about the care and support you might need. ![]() checking your blood pressure and heart rate.They may suggest some tests to find out more about your symptoms and rule out other things that could be causing them. The GP will ask about your symptoms and the impact they're having on your life. Getting a referral to a long COVID service you've had symptoms of COVID-19 for 4 weeks or more and are worried.
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