Overview
Corona veneris refers to the corona or crown-like appearance of the vulva, often observed in dermatological conditions affecting the vulvar skin. However, the provided abstracts focus on gastrointestinal manifestations related to the SARS-CoV-2 virus rather than the anatomical term "corona veneris." Given the context, this summary will address gastrointestinal involvement in COVID-19 impacting clinical practice, particularly relevant to gastroenterologists 1.Diagnosis
Fecal Shedding: Detection of SARS-CoV-2 RNA in stool samples can indicate prolonged viral shedding 1.
GI Symptoms: Presence of gastrointestinal symptoms such as diarrhea, nausea, vomiting, and abdominal pain may suggest COVID-19 infection 1.
Endoscopic Procedures: Consider elevated risk of viral transmission during aerosol-generating procedures like endoscopy; enhanced PPE and procedural precautions are advised 1.Management
Underlying Conditions: Tailor management of chronic gastrointestinal diseases (e.g., IBD) with caution, considering potential immunosuppression and increased infection risk 1.
Infection Control: Implement strict infection control measures in clinical settings, especially for procedures that generate aerosols 1.
Monitoring: Regular monitoring of patients with GI symptoms for signs of COVID-19 infection, including fecal testing 1.Special Populations
Comorbidities: Patients with underlying gastrointestinal diseases may require specialized care to manage both conditions while mitigating COVID-19 risk 1.
Procedure Risks: Elderly and immunocompromised patients undergoing endoscopic procedures face higher risks; individualized risk assessment and protective measures are crucial 1.Key Recommendations
Enhance PPE and Procedural Precautions for aerosol-generating procedures to minimize viral transmission risk during the pandemic (Evidence: Expert opinion 1).
Regularly Monitor Patients with chronic gastrointestinal conditions for COVID-19 symptoms and consider fecal testing for SARS-CoV-2 (Evidence: Moderate 1).
Adjust Management Strategies for chronic GI diseases considering potential immunosuppression effects and increased infection susceptibility (Evidence: Expert opinion 1).References
1 Dhar J, Samanta J, Kochhar R. Corona Virus Disease-19 pandemic: The gastroenterologists' perspective. Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology 2020. link