First case of ‘COVID toe’ with muscle spasticity

As the lesions on the patient's feet progressed, the lower limb spasticity increased too, say US doctors

A woman from the US has developed not only ‘COVID toe’, but lower limb spasticity in what doctors believe is the first report of musculoskeletal effects of a SARS-CoV-2 infection.

They say the woman’s clotting disorder may have predisposed her to the painful blisters, which could provide clues to the aetiology of COVID toes.

She presented to doctors in late April 2020 with swollen lesions on both feet, along with fatigue and lower limb spasticity that started around the same time as the blisters.

The blisters had started individually on the left foot and were acutely painful.