Impacts of the COVID-19 Pandemic to the Skin and to Professionals Caring for the Skin View or Download PDF
Journal Title:Journal of Dermatology Research
This is a brief review on the impact of Coronavirus disease 2019 (COVID-19) pandemic on the skin and the practice of dermatology.
There are many skin manifestations of COVID-19. The most characteristic one would be multiple acrally-located erythematous perniosis-like swellings occuring in babies and small children [1-4]. These lesions are usually late in presentation. Vesicular eruptions appear early in the phase of the disease . These two types of lesions are the most specific patterns .
Non-pitting oedema on the hands and feet can sometimes be seen. Less commonly, lesions are seen on the face, trunk and ears . They are mainly seen in the European countries and Middle East. To the best knowledge of the Editor, no such lesion has yet been reported in infants and young children in Asia, including South-East Asia. Other skin manifestations include a petechial rash on the trunk, non-specific exanthem and acute urticaria [5-8].
The impacts of COVID-19 are beyond cutaneous manifestations for the infected patients. As an example, for children with severe skin diseases, unrelated to COVID-19 and on immunosuppressant therapies, most pediatric dermatologists have paused or reduced the frequency of laboratory monitoring for adverse effects of the medications .
The Editor has previously reported on the close interactions of the cutis and the psyche . During the pandemic, people are experiencing fear, distress and helplessness . These can precipitate or perpetuate cutaneous diseases. The use of protective gears can lead to irritant and allergic contact dermatitis, intertrigo, and lichen simplex. People are afraid to attend surgeries and hospitals. Their thresholds for seeking proper medical attention are raised. In the surgery of the Editor, some long-term or new patients are attending with severe psoriasis, nodulocystic acne, generalised dermatophytoses and other severe skin conditions which could have been well controlled if they seek earlier help.