什么是冠状病毒舌头?这是你感染病毒的迹象吗?
你现在应该检查你的舌头吗?以下是医生想让你知道的。
几个月来，关于COVID-19奇怪症状的报告不断出现。有COVID脚趾这些症状后来成为该病毒的“正式”症状。现在有一种新的语言被搁置一边:COVID舌头。
根据发表在英国皮肤病杂志在美国，大量COVID-19患者的舌头出现肿块，并伴有炎症和肿胀。这封信分析了西班牙一家临时野战医院的666名患者的数据，发现超过45%的患者有某种形式的粘膜皮肤症状。(粘膜皮肤症状出现在粘膜和皮肤接触的地方，比如嘴巴、眼睛和生殖器的部分。)
超过25%的人在口腔中出现症状，包括皮肤表面的肿块发炎，舌头整体发红和肿胀。病人通常也会说，他们感到嘴里有灼烧感，以及味觉丧失。
信中甚至还附上了照片，所以你可以看到(a)肿胀的COVID舌头和(b)凹凸不平的COVID舌头的特写。这引发了很多问题，包括你现在是否应该密切关注你的舌头。所以我们请了医生来点评。
首先，COVID舌头真的存在吗?
是的,这是合法的。“我见过一些，”医学博士拉吉夫·费尔南多说传染性疾病在全国范围内工作的医生，告诉健康．
一些医生，比如理查德·沃特金斯(Richard Watkins)，医学博士，传染病医生和东北俄亥俄医科大学的内科教授，没有在COVID-19患者中看到这种情况，但这可能是有原因的。病人“通常都戴着口罩，我不会要求他们摘掉口罩，”沃特金斯医生说健康．
纽约布法罗大学传染病学教授兼主任托马斯·罗素医学博士说，正因为如此，COVID舌头很可能被低估了健康．他说:“许多医生专注于心脏、肺和腹部，在COVID-19时代，他们更不愿检查口腔，因为这可能会增加他们感染的风险。”“很多人可能都错过了这一点。”
是什么导致了COVID舌头?
需要指出的是，被称为COVID-19舌头的东西不一定是COVID-19独有的。“许多病毒可以引起粘膜皮肤表现，”鲁索博士说。费尔南多博士对此表示赞同。“这些症状并不是确诊COVID-19的决定性因素，”他说。
虽然这种现象还没有被深入研究，但罗素博士表示，COVID-19会让你的舌头肿胀，这在“生物学上是合理的”。
费尔南多博士是这样解释的:你的细胞中含有一种叫做ACE受体的酶，导致covid -19的sars - cov -2会附着在这种酶上。从那里，病毒进入你的细胞，复制，并使你生病。他说:“舌头上有很多ACE受体，所以病毒非常集中在这个区域。”“在舌头上，会有很多COVID。”这可能会导致舌头隆起和肿胀等症状。
如果你认为你有新冠肺炎舌头，你应该怎么做?
费尔南多博士表示，你不太可能只会患上COVID舌头。相反，他说，你更有可能注意到舌头的异常，以及其他更容易识别的症状，比如咳嗽，呼吸急促（气促），或失去味觉和嗅觉。“这将是一系列症状的一部分，”他说。
如果你的舌头感觉或看起来有异味，这可能是你感染了另一种病毒的迹象——或者你刚刚吃了惹恼你的东西，罗素博士说。他说:“所有这些口腔和粘膜皮肤表现往往是非特异性的。”虽然他表示，舌头症状“可能会增加你对冠状病毒感染的怀疑，但其他症状很可能会触发这一诊断途径。”
底线:不要忽视你舌头的肿块或炎症——但如果你出现了这些症状也不要惊慌。
截至发稿时，这篇报道中的信息是准确的。然而，随着围绕COVID-19的形势继续发展，一些数据可能自发布以来发生了变化。在《健康》杂志努力使我们的故事尽可能最新的同时，我们也鼓励读者通过使用疾病预防控制中心，谁以及当地的公共卫生部门作为资源。
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You might have wild dreams when you're ill—fever can do that. But bizarre or emotionally intense fever dreams are not recognized as a symptom of COVID-19.
" }, { "answer_choices": [ { "answer_title": "Wear a mask", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 6886, "lastModified": "2021-08-04T22:10:15.000Z" } }, { "answer_title": "Wash your hands", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 42251, "lastModified": "2021-08-04T20:27:47.000Z" } }, { "answer_title": "Maintain social distance from others", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 6282, "lastModified": "2021-08-04T15:16:21.000Z" } }, { "answer_title": "Wipe down groceries packaged in cardboard or plastic wrap with bleach", "correct_answer": true, "answer_id": "A4", "answer_value": 1, "$vf_selected_count": { "value": 53683, "lastModified": "2021-08-04T23:42:44.000Z" } } ], "answer_type": "text", "question_title": "To slow the spread of COVID-19, don't do this:", "question_id": "Q3", "answer_description": "CDC specifically warns against using disinfecting products on food or food packaging. You don't want to accidentally taint your food. Plus, the risk of COVID-19 from handling or consuming food is thought to be low. Use disinfectants like bleach to wipe down tables, countertops, and faucets
" }, { "answer_choices": [ { "answer_title": "A multi-layer medical procedure mask (aka a surgical mask or disposable face mask)", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 8744, "lastModified": "2021-08-04T23:37:13.000Z" } }, { "answer_title": "A mask with a vent or valve", "correct_answer": true, "answer_id": "A2", "answer_value": 1, "$vf_selected_count": { "value": 78279, "lastModified": "2021-08-04T23:42:44.000Z" } }, { "answer_title": "A cloth mask made of two or more breathable, washable layers", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 17043, "lastModified": "2021-08-04T23:16:58.000Z" } }, { "answer_title": "A cloth mask over a surgical mask", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 5035, "lastModified": "2021-08-04T22:10:15.000Z" } } ], "answer_type": "text", "question_title": "Which masking option is least effective for stopping the spread of COVID-19?", "question_id": "Q4", "answer_description": "If your mask has a vent or valve, respiratory particles may escape and reach other people. Opt instead for a well-fitting mask with multiple layers, or wear a cloth mask over a disposable mask to secure the underlying mask to your face.
" }, { "answer_choices": [ { "answer_title": "Anal swab testing", "correct_answer": true, "answer_id": "A1", "answer_value": 1, "$vf_selected_count": { "value": 92861, "lastModified": "2021-08-04T23:42:44.000Z" } }, { "answer_title": "Nasal swab testing", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 11221, "lastModified": "2021-08-04T23:27:27.000Z" } }, { "answer_title": "Saliva testing", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 2996, "lastModified": "2021-08-04T20:57:53.000Z" } }, { "answer_title": "Throat swab testing", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 2023, "lastModified": "2021-08-04T20:56:17.000Z" } } ], "answer_type": "text", "question_title": "Which COVID-19 screening method is not routinely in use in the US?", "question_id": "Q5", "answer_description": "Most diagnostic tests rely on mucus collected from your nose or throat, and some use saliva that you spit into a test tube. While China is using anal swab testing, that method hasn't caught on in the US.
" }, { "answer_choices": [ { "answer_title": "2 to 12 hours", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 4894, "lastModified": "2021-08-04T22:52:12.000Z" } }, { "answer_title": "3 days", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 23252, "lastModified": "2021-08-04T23:42:44.000Z" } }, { "answer_title": "14 days", "correct_answer": true, "answer_id": "A3", "answer_value": 1, "$vf_selected_count": { "value": 80167, "lastModified": "2021-08-04T23:27:27.000Z" } }, { "answer_title": "30 days", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 789, "lastModified": "2021-08-03T04:50:42.000Z" } } ], "answer_type": "text", "question_title": "How long is the incubation period—the amount time from when you are infected with the novel coronavirus to when you exhibit symptoms?", "question_id": "Q6", "answer_description": "The incubation is thought to be 14 days, with a median of 4 to 5 days. (But keep in mind that some people never develop symptoms).
" }, { "answer_choices": [ { "answer_title": "A variant", "correct_answer": true, "answer_id": "A1", "answer_value": 1, "$vf_selected_count": { "value": 70940, "lastModified": "2021-08-04T23:42:44.000Z" } }, { "answer_title": "A high viral load", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 9432, "lastModified": "2021-08-04T21:15:44.000Z" } }, { "answer_title": "A vaccine", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 11307, "lastModified": "2021-08-04T19:59:09.000Z" } }, { "answer_title": "Another virus, like influenza", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 17423, "lastModified": "2021-08-04T20:00:33.000Z" } } ], "answer_type": "text", "question_title": "A mutated version of the virus that causes COVID-19 is called:", "question_id": "Q7", "answer_description": "Variants of the virus that causes COVID-19 have been identified in the US and around the world. Scientists are studying these variants to learn how they spread and whether current vaccines will protect against them.
" }, { "answer_choices": [ { "answer_title": "Researchers have coined the term \"coronaphobia\" to describe the fear of contracting COVID-19", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 8513, "lastModified": "2021-08-04T21:15:44.000Z" } }, { "answer_title": "The virus that causes COVID-19 can sometimes spread through tiny airborne particles", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 14326, "lastModified": "2021-08-04T23:05:16.000Z" } }, { "answer_title": "The term \"long-haulers\" refers to people who experience long-term coronavirus symptoms", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 5734, "lastModified": "2021-08-04T23:32:37.000Z" } }, { "answer_title": "COVID-19 is just like having the seasonal flu", "correct_answer": true, "answer_id": "A4", "answer_value": 1, "$vf_selected_count": { "value": 80530, "lastModified": "2021-08-04T23:42:44.000Z" } } ], "answer_type": "text", "question_title": "Which of the following statements is false?", "question_id": "Q8", "answer_description": "Early on, some people speculated that the novel coronavirus would behave like the seasonal flu. Now we know COVID-19 is much more contagious and spreads more rapidly than influenza.
" }, { "answer_choices": [ { "answer_title": "Women who want to become pregnant some day", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 10853, "lastModified": "2021-08-04T21:03:11.000Z" } }, { "answer_title": "Anyone who has had a severe allergic reaction (anaphylaxis) to any vaccine ingredient", "correct_answer": true, "answer_id": "A2", "answer_value": 1, "$vf_selected_count": { "value": 57478, "lastModified": "2021-08-04T23:42:44.000Z" } }, { "answer_title": "People who have recovered from COVID-19", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 9646, "lastModified": "2021-08-04T21:57:03.000Z" } }, { "answer_title": "People with underlying medical conditions", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 31125, "lastModified": "2021-08-04T22:30:11.000Z" } } ], "answer_type": "text", "question_title": "Who should not get a COVID-19 vaccine?", "question_id": "Q9", "answer_description": "CDC does not recommend COVID vaccination if you've had a severe allergic reaction to any COVID vaccine ingredient. Contact your doctor if you have questions about whether it's safe for you to be vaccinated.
" }, { "answer_choices": [ { "answer_title": "You can't get COVID-19 from a COVID-19 shot", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 16626, "lastModified": "2021-08-04T22:30:11.000Z" } }, { "answer_title": "Side effects are generally mild and short-lived", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 6612, "lastModified": "2021-08-04T23:16:58.000Z" } }, { "answer_title": "It can take a few weeks after getting vaccinated for your body to build immunity to the virus", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 3995, "lastModified": "2021-08-04T21:15:44.000Z" } }, { "answer_title": "None of the above", "correct_answer": true, "answer_id": "A4", "answer_value": 1, "$vf_selected_count": { "value": 81869, "lastModified": "2021-08-04T23:42:44.000Z" } } ], "answer_type": "text", "question_title": "Which of the following statements about COVID-19 are false?", "question_id": "Q10", "answer_description": "Vaccination is safe, effective, and an important tool for beating the pandemic.
" } ], "description": "News about the novel coronavirus is breaking nearly 24-7, which makes it challenging at best to keep up with the latest scientific evidence, especially when you're bombarded by false or misleading claims on social media. So how much do you really know about COVID-19? Take our quiz to gauge how knowledgeable you are.
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\nMore on COVID-19:
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\nWhile Health is trying to keep our content as up-to-date as possible, we also encourage readers to stay informed on news and recommendations for their own communities by using the CDC, WHO, and their local public health department as resources.
", "result_title": "Not Much." }, { "result_starting_range": 4, "button": { "_type": "button", "title": "Learn Some More", "src": "https://x.specialoffers.meredith.com/ats/show.aspx?cr=588&fm=201®source=20571" }, "result_ending_range": 6, "result_description": "Not bad, but there’s much more to know about this illness. Subscribe to our daily Healthy Living newsletter and never miss an update.
\nMore on COVID-19:
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\nWhile Health is trying to keep our content as up-to-date as possible, we also encourage readers to stay informed on news and recommendations for their own communities by using the CDC, WHO, and their local public health department as resources.
", "result_title": "You Know Some Things About Some Things." }, { "result_starting_range": 7, "button": { "_type": "button", "title": "Stay Updated with Newsletters", "src": "https://x.specialoffers.meredith.com/ats/show.aspx?cr=588&fm=201®source=20571" }, "result_ending_range": 8, "result_description": "Terrific. Keep reading about COIVD-19 on Health.com and stay safe!
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\nCoronavirus 101: Symptoms, Transmission, Severity and More
\nWhile Health is trying to keep our content as up-to-date as possible, we also encourage readers to stay informed on news and recommendations for their own communities by using the CDC, WHO, and their local public health department as resources.
", "result_title": "You Are Certified to Debate on Social Media." }, { "result_starting_range": 9, "button": { "_type": "button", "title": "Sign Up for Newsletters", "src": "https://x.specialoffers.meredith.com/ats/show.aspx?cr=588&fm=201®source=20571" }, "result_ending_range": 10, "result_description": "You are definitely in the know! Keep coming back to Health.com for the latest information.
\nMore on COVID-19:
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\nLiving Through a Pandemic: A Guide to Surviving the New Normal
\nCoronavirus 101: Symptoms, Transmission, Severity and More
\nWhile Health is trying to keep our content as up-to-date as possible, we also encourage readers to stay informed on news and recommendations for their own communities by using the CDC, WHO, and their local public health department as resources.
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