Revue médicale suisse
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Since the beginning of the COVID-19 pandemic, dermatologists around the world have reported patients with chilblain-like skin lesions on their toes, called COVID-toes. Surprisingly, the majority of these patients do not develop COVID-19 symptoms, and their nasal swabs and serological tests are unable to confirm SARS-CoV-2 infection, despite a clear exposure to the virus. ⋯ Because chilblains are hallmarks of excessive type I interferons, COVID-toes may represent the skin expression of interferon-mediated resistance to SARS-CoV-2. Uncovering the molecular patho-mechanisms of COVID-toes may provide new avenues to promote SARS-CoV-2 resistance and control the COVID-19 pandemic.
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Revue médicale suisse · Mar 2021
[Asylum seekers : collaboration between nurses and medical students during the COVID-19 epidemic].
The exceptional health challenges generated by the COVID-19 pandemic have sparked a wave of mobilization among medical students. We were four students to provide support to the Migrant Care Units of the Vulnerability and Social Medicine Department of Unisanté. This two-month experience, very different from the academic framework we were used to during our studies, allowed us to discover a clinic grappling with social and cross-cultural issues, and taught us the mutual benefits of an interprofessional collaboration with experienced nurses. Through a few clinical vignettes, we would like to share the challenges of the care we have seen, as well as the significant lessons we have learned from them.
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Revue médicale suisse · Mar 2021
[Impacts of COVID-19 pandemic on the control of other diseases in Africa : After the waves, the tsunami].
The measures put in place to fight the Covid-19 pandemic have a strong impact on many programs to fight several other infectious diseases in Africa. The disruption of drug and equipment supply chains, the interruption of therapies, or the under-detection of new cases produce excess morbidity and mortality linked to many other diseases, including HIV, malaria and tuberculosis. These indirect impacts could ultimately turn out to be much greater than the direct impacts associated with the current Covid-19 pandemic. Mitigation measures for these indirect impacts are underway, but most require access to quality and up-to-date data on the state of health services.