As far as we know now, having neuropathy does not increase your risk for catching COVID-19 or feeling ill.
However, there are some important points to keep in mind:
1. Patients using corticosteroids or other immunosuppressants have higher risk of all infections, and of more serious illness. It's important to practice social isolation through the worst of the pandemic, and to contact a healthcare provider rapidly for new fever, upper respiratory infection, or difficulty breathing.
2. Intravenous immunoglobulin (IVIg), purified from donated blood, normally helps protect against infections. However, because blood donors do not yet have antibodies to COVID-19, IVIg will not protect against the virus for now.
3. Patients with neuropathy-related postural orthostatic tachycardia syndrome (POTS), low blood pressure, tachycardia, or dizziness on standing risk fainting if they become dehydrated. Neuropathy patients with these symptoms who become unable to eat and drink for more than one day for any reason should ask a doctor if they might need intravenous rehydration.
A Small-Fiber Polyneuropathy Patient Shares Her COVID-19 Experience
I have small-fiber polyneuropathy and am a patient of Dr. Oaklander. I am in my twenties and was on high dose steroids for more than a year, but am currently not on any immunosuppressants.
I had COVID-19. The threat of getting a sickness about which so little is known, when I already have a rare neurologic disease, felt very scary. I want to talk about my experience, and also share some practical things I did while I was sick that helped me feel better. I also want to emphasize that while this sickness was scary to have, I am okay!
What it felt like
Three weeks ago, I started showing signs of COVID-19. It began as a sore throat. I had a runny nose, so I did not think much about it. The next day I suddenly lost my sense of taste and smell. Everything tasted dull or kind of sour. The following morning, I woke up with a mild fever. I started to quarantine in my bedroom. As the days progressed, my fever persisted, and I began to have intense body aches.
After four or five days of symptoms, my sore throat felt like it was sinking down into my chest. I started to cough, a very dry cough. It hurt intensely each time I coughed.
With the cough came a strange chest tightness. My ribs ached. My lungs felt tight and raspy. I could not take a full deep breath in. The entire time I was actually getting enough air, and had good oxygen levels in my blood, but it felt as though my lungs could not take the air in, almost as if I were drowning. I have never before experienced such a sensation.
Days six and seven were the days I felt scared, but then I started to feel better. My fever and the worst of the pain in my lungs went away. The chest tightness and cough slowly started to improve after that. I am now basically back to full health, although some aches continue, and my lungs hurt if I walk for too long outside.
Throughout my sickness, I was definitely worried that my small-fiber polyneuropathy would flare. But so far, I have not experienced any neurological symptoms.
1. I was quarantined for 10 days in my room. There are two bathrooms in my house, so I was able to have my own bathroom. My roommates brought me meals. One of my roommates would wash all the dishes with gloves on at the end of the day. These precautions felt extreme, but none of my roommates got sick.
2. I drank a ridiculous amount of water and tea throughout the sickness. I got myself an electric tea kettle to keep in my room, so that I could make myself tea anytime. I also kept snacks in my room so that whenever I felt hungry, I could eat. I made sure that, even though my sense of taste and appetite was off, I was still eating enough.
3. When my chest would hurt a lot, I would rub my chest and neck with Vicks® VapoRub™ and then use a heating pad. I would then take slow gentle breaths. This helped a lot!
4. I had a few people I would FaceTime with regularly during the days. This was important. Even when my lungs felt very painful and short of breath, I was still able to carry on a conversation. This helped me know I was getting enough oxygen. Also, having people around, even virtually, made me feel less isolated.
Additional Resources for Neurology Patients
For trusted information on the pandemic, visit the American Academy of Neurology’s Brain&Life COVID-19 (Coronavirus) and Neurologic Disease Resource Center.