<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282025000400281</article-id>
<article-id pub-id-type="doi">10.29315/gm.750</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[COVID-Toes: Uma Condição Pós-COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[COVID-Toes: A Post-COVID-19 Condition]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vilaça]]></surname>
<given-names><![CDATA[Rita Neves]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidade Local de Saúde do Tâmega e Sousa Medicina Geral e Familiar ]]></institution>
<addr-line><![CDATA[Penafiel ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidade de Saúde Familiar São Tiago  ]]></institution>
<addr-line><![CDATA[Lustosa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>12</volume>
<numero>4</numero>
<fpage>281</fpage>
<lpage>284</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282025000400281&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282025000400281&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282025000400281&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A COVID-19 é uma infeção viral, sendo as manifestações clínicas mais comuns: febre, astenia, mialgias, cefaleias, dispneia. Casos clínicos de lesões cutâneas acrais, semelhantes a frieiras, foram relatados em todo o mundo, ficando conhecidas como dedos COVID. Doente com 50 anos, queixas de artralgias, edema, eritema, hiperalgesia e sensibilidade ao calor em ambas as mãos. Concomitantemente edema e eritema nos primeiros dedos dos pés bilateralmente. Associa estes sintomas à infeção SARS-CoV-2, diagnosticada duas semanas antes do aparecimento destes. O exame objetivo em consulta estava normal. A investigação de uma possível etiologia autoimune, vascular ou distúrbio da coagulação foi inconclusiva. Deste modo, a evolução temporal e o tipo de lesões cutâneas apresentadas permitem estabelecer uma conexão com uma condição pós-COVID. O conhecimento sobre as manifestações cutâneas associadas à infeção por SARS-CoV-2, foi essencial para o diagnóstico deste caso assintomático de COVID-19.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract COVID-19 is a viral infection, which fever, asthenia, myalgia, headache, dyspnea, are the most common clinical manifestations. A fifty-year-old patient with complaints of arthralgia, edema, erythema, hyperalgesia, and heat sensitivity in both hands. Concurrently, edema and erythema in the first toes bilaterally. Concomitant swelling and erythema in the first toes bilaterally. He associates these symptoms with the SARS-CoV-2 infection, diagnosed two weeks before they appeared. The physical examination during the medical appointment was normal. The investigation of a possible autoimmune, vascular, or coagulation disorder etiology was inconclusive. Thus, the temporal evolution and type of skin lesions presented allow us to establish a connection with a post-COVID condition. Knowledge about skin manifestations associated with SARS-CoV-2 infection was essential for the diagnosis of this asymptomatic case of COVID-19.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[COVID-19/complicações]]></kwd>
<kwd lng="pt"><![CDATA[Dedos]]></kwd>
<kwd lng="pt"><![CDATA[Perniose]]></kwd>
<kwd lng="pt"><![CDATA[Síndrome de Pós-COVID-19 Aguda]]></kwd>
<kwd lng="en"><![CDATA[Chilblains]]></kwd>
<kwd lng="en"><![CDATA[COVID-19/complications]]></kwd>
<kwd lng="en"><![CDATA[Post-Acute COVID-19 Syndrome Acral]]></kwd>
<kwd lng="en"><![CDATA[Toes]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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