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KMID : 0032220240360020081
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Annals of Dermatology
2024 Volume.36 No. 2 p.81 ~ p.90
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Facial Dermatoses Associated With Mask-Wearing in the COVID-19 Era: A Nationwide, Cross-Sectional, Multicenter, Questionnaire-based Study
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Choi Myoung-Eun
Lee Woo-Jin
Ko Joo-Yeon
Kim Kwang-Joong
Kim Jung-Eun
Kim Hei-Sung
Park Kui-Young
Park Mi-Youn
Suh Dae-Hun
Shin Ki-Hyuk
Shin Min-Kyung
Ahn Hyo-Hyun
Lee Weon-Ju
Lee Jee-Bum
Lee Hee-Jung
Jang Min-Soo
Cheong Seung-Hyun
Cho So-Yun
Choi Yu-Sung
Choi You-Won
Choi Hoon
Lee Mi-Woo
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Abstract
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Background: Daily usage of facial masks during coronavirus disease 2019 pandemic influ- enced on facial dermatoses.
Objective: This study investigated the impact of mask-wearing habits on facial dermatoses.
Methods: A nationwide, obser vational, questionnaire-based sur vey was conducted from July through August 2021, involving 20 hospitals in Korea.
Results: Among 1,958 facial dermatoses, 75.9% of patients experienced aggravation or development of new-onset facial dermatoses after wearing masks.
In aggravated or newly developed acne patients (543 out of 743), associated factors were healthcare provider, female gender, and a long duration of mask-wearing. Irritating symptoms, xerosis, and hyperpigmentation were more frequently obser ved in this group. Aggravated or newly developed rosacea patients (515 out of 660) were likely to be female, young, and have a long duration of mask-wearing per day. Seborrheic dermatitis patients who expe- rienced aggravation or de novo development (132 out of 184) were younger, and they more frequently involved the chin and jaw in ad- dition to the nasolabial folds and both cheeks. Contact dermatitis patients (132 out of 147) with aggravation or de novo development tended to be female, involve both cheeks, and complain of pruri- tus. Aggravated or newly developed atopic dermatitis patients (165 out of 224) were more likely to be female, and had a higher baseline investigator global assessment score before mask-wearing.
Conclusion: Clinical features and factors related to aggravation were different according to the types of facial dermatoses.
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KEYWORD
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Acne vulgaris, Atopic dermatitis, Contact dermatitis, Masks, Rosacea
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