Masks trigger facial seborrheic dermatitis and psoriasis : evidence from a multicenter, case-control study during COVID-19 pandemic
BACKGROUND: Wearing masks is an optimal preventive strategy during COVID-19 pandemic, but it may increase facial sebum production. However, few case reports have described seborrheic dermatitis (SeBD) and psoriasis (PsO) flares due to masks. Hence, we conducted a multicenter study to clarify the possibility of increased SeBD and PsO flares in association with mask wearing during the COVID-19 pandemic.
METHODS: This multicenter study enrolled patients with a diagnosis of facial SeBD and PsO. All dermatological consultations were conducted in teledermatology at baseline (T0) and after 1 month (T1) Of >6 hours/day wearing mask. PsO patients were assessed using PsO Area and Severity Index (PASI) and self-administered PASI (SAPASI), whilst SeBD patients with symptom scale of seborrheic dermatitis' (SSSD) and seborrheic dermatitis area and severity index (SEDASI).
RESULTS: A total of 33 (20 males, 13 females, average age 43.61±9.86) patients with PsO and 33 (20 males, 13 females, average age 44.00±8.58) with SeBD were enrolled. After 1 month, PsO patients displayed higher values of both PASI and SAPASI (P<0.0001), while SeBD patients experienced a flare, as testified by the increment of both SSSD and SEDASI (P<0.0001). Mask type did not seem to influence the flare severity.
CONCLUSIONS: Masks remain an optimal preventive strategy during COVID-19 pandemic, but patients with PsO and SeBD may experience facial flares. Thus, therapeutic approach should be more aggressive in these groups of patients to counteract the triggering effect of masks.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:157 |
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| Enthalten in: |
Italian journal of dermatology and venereology - 157(2022), 5 vom: 13. Okt., Seite 419-423 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Damiani, Giovanni [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 11.10.2022 Date Revised 11.10.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.23736/S2784-8671.22.07246-2 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM343500280 |
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| 100 | 1 | |a Damiani, Giovanni |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Masks trigger facial seborrheic dermatitis and psoriasis |b evidence from a multicenter, case-control study during COVID-19 pandemic |
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| 500 | |a Date Revised 11.10.2022 | ||
| 500 | |a published: Print-Electronic | ||
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| 520 | |a BACKGROUND: Wearing masks is an optimal preventive strategy during COVID-19 pandemic, but it may increase facial sebum production. However, few case reports have described seborrheic dermatitis (SeBD) and psoriasis (PsO) flares due to masks. Hence, we conducted a multicenter study to clarify the possibility of increased SeBD and PsO flares in association with mask wearing during the COVID-19 pandemic | ||
| 520 | |a METHODS: This multicenter study enrolled patients with a diagnosis of facial SeBD and PsO. All dermatological consultations were conducted in teledermatology at baseline (T0) and after 1 month (T1) Of >6 hours/day wearing mask. PsO patients were assessed using PsO Area and Severity Index (PASI) and self-administered PASI (SAPASI), whilst SeBD patients with symptom scale of seborrheic dermatitis' (SSSD) and seborrheic dermatitis area and severity index (SEDASI) | ||
| 520 | |a RESULTS: A total of 33 (20 males, 13 females, average age 43.61±9.86) patients with PsO and 33 (20 males, 13 females, average age 44.00±8.58) with SeBD were enrolled. After 1 month, PsO patients displayed higher values of both PASI and SAPASI (P<0.0001), while SeBD patients experienced a flare, as testified by the increment of both SSSD and SEDASI (P<0.0001). Mask type did not seem to influence the flare severity | ||
| 520 | |a CONCLUSIONS: Masks remain an optimal preventive strategy during COVID-19 pandemic, but patients with PsO and SeBD may experience facial flares. Thus, therapeutic approach should be more aggressive in these groups of patients to counteract the triggering effect of masks | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 700 | 1 | |a Finelli, Renata |e verfasserin |4 aut | |
| 700 | 1 | |a Kridin, Khalaf |e verfasserin |4 aut | |
| 700 | 1 | |a Pacifico, Alessia |e verfasserin |4 aut | |
| 700 | 1 | |a Buja, Alessandra |e verfasserin |4 aut | |
| 700 | 1 | |a Bragazzi, Nicola L |e verfasserin |4 aut | |
| 700 | 1 | |a Malagoli, Piergiorgio |e verfasserin |4 aut | |
| 700 | 1 | |a Savoia, Paola |e verfasserin |4 aut | |
| 700 | 1 | |a Gironi, Laura C |e verfasserin |4 aut | |
| 700 | 1 | |a Grada, Ayman |e verfasserin |4 aut | |
| 700 | 1 | |a Conic, Rosalynn R |e verfasserin |4 aut | |
| 700 | 1 | |a Linder, Dennis |e verfasserin |4 aut | |
| 700 | 1 | |a Micali, Giuseppe |e verfasserin |4 aut | |
| 700 | 1 | |a Pigatto, Paolo D |e verfasserin |4 aut | |
| 700 | 0 | |a Young Dermatologists Italian Network |e verfasserin |4 aut | |
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