Mask associated dermatosis: unmasking the challenges- a cross sectional study
DOI:
https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20212551Keywords:
COVID-19, Facial dermatosis, Mask associated dermatosisAbstract
Background: The novel coronavirus, referred to as SARS-COV 2 causing COVID 19, has become a great health challenge to the mankind. After its origin from Wuhan, China, it spread all over the globe within a short period of time. World Health Organization (WHO) officially declared COVID 19 as pandemic on 11th March, 2020. Aerosoles or droplets are the commonest mode of infection through respiratory tract making it mandatory to wear masks as a preventive measure.
Methods: It is a cross-sectional study conducted over patients attending the out patients department of Dermatology. They were observed for presence of dermatosis over the face and categorized according to nature of dermatoses.
Results: We observed 385 patients, 200 (52%) patients had new dermatoses and 185 (48%) patients noticed flare of existing dermatoses. The predominant new dermatoses were dermatophytosis, indentations, sweat induced dermatitis, urticaria, pressure urticaria developing with indentations, contact dermatitis to metal and other materials in 49 (24.5%%), 42 (21%), 42 (21%) ,38(19%), 19 (9.5%) and 10 (5%) cases respectively. The flared dermatoses were acne, rosacea , plane warts and molluscum contagiosum in 120 (64.8%), 24 (12.9%), 22 (11.9%) and 17 (9.2%) cases respectively. Koebnerisation of vitiligo and lichen planus was also seen in few subjects.
Conclusions: The prolonged use of face mask may cause various infective and non infective facial dermatoses. In the current scenario, it is mandatory to wear face mask as a preventive measure hence it is important to wear the mask properly. However, care of the mask as well as breaks from the mask are important factors to avoid the development of mask associated dermatosis.
References
World Health Organization. Novel Coronavirus (2019-nCoV) Situation Report - 1. Geneva: WHO; 2020. Accessed on 3rd March 2021.
Timeline: WHO's COVID-19 response. Available at https://www.who.int/news-room/detail/27-04-2020-who-timeline---covid-19. Accessed on 3rd March 2021.
Esposito S, Principi N, Leung CC, Migliori GB. Universal use of face masks for success against COVID-19: evidence and implications for prevention policies. Eur Respir J. 2020;55(6):2001260.
Centers for Disease Control and Prevention. Coronavirus Disease 2019 (COVID-19). How to Protect Yourself & Others. Available at https://www.cdc.gov/coronavirus/2019-cov/prevent-getting-sick/prevention.html. Accessed on 3rd March 2021.
Balato A, Ayala F, Bruze M. European Task Force on Contact Dermatitis statement on coronavirus 19 disease (COVID-19) outbreak and the risk of adverse cutaneous reactions. J Eur Acad Dermatol Venereol. 2020.
Foo CC, Goon AT, Leow YH, Goh CL. Adverse skin reactions to personal protective equipment against severe acute respiratory syndrome--a descriptive study in Singapore. Contact Dermatitis. 2006;55(5):291-4.
Lan J, Song Z, Miao X. Skin damage among health care workers managing coronavirus disease-2019. J Am Acad Dermatol. 2020;82(5):1215-6.
Al Badri FM. Surgical mask contact dermatitis and epidemiology of contact dermatitis in healthcare workers. Curr Allergy Clin Immunol. 2017;30(3):183‐8.
Elston DM. Occupational skin disease among health care workers during the coronavirus (COVID-19) epidemic. J Am Acad Dermatol. 2020;82(5):1085-6.
Lin P, Zhu S, Huang Y, Li L, Tao J, Lei T et al. Adverse skin reactions among healthcare workers during the coronavirus disease 2019 outbreak: a survey in Wuhan and its surrounding regions. Br J Dermatol. 2020;183(1):190-2.
Teo WL. Diagnostic and management considerations for "maskne" in the era of COVID-19. J Am Acad Dermatol. 2021;84(2):520-1.
Yan Y, Chen H, Chen L. Consensus of Chinese experts on protection of skin and mucous membrane barrier for health-care workers fighting against coronavirus disease 2019. Dermatologic Therapy. 2020;e13310.
