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SHR Neuro Cancer Cardio Lipid Metab Microb

Damiani, G; Finelli, R; Kridin, K; Pacifico, A; Buja, A; Bragazzi, NL; Malagoli, P; Savoia, P; Gironi, LC; Grada, A; Conic, RR; Linder, D; Micali, G; Pigatto, PD; young Dermatologists Italian Network.
Masks trigger facial seborrheic dermatitis and psoriasis: evidence from a multicenter, case-control study during COVID-19 pandemic
ITAL J DERMATOL VENE. 2022; 157(5): 419-423. Doi: 10.23736/S2784-8671.22.07246-2
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Co-authors Med Uni Graz: Linder Michael Dennis
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Abstract:: 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 mul-ticenter 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.
Find related publications in this database (Keywords): Masks; Psoriasis; Dermatitis; seborrheic; COVID-19; Preventive medicine