OBJECTIVE: This study investigated the impact of mask-wearing habits on facial dermatoses.
METHODS: A nationwide, observational, questionnaire-based survey 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 observed 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 experienced aggravation or de novo development (132 out of 184) were younger, and they more frequently involved the chin and jaw in addition 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 pruritus. 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.
CONCLUSIONS: Clinical features and factors related to aggravation were different according to the types of facial dermatoses.
目的:本研究调查了戴口罩的习惯对面部皮肤病的影响。
方法:全国范围内,观察,问卷调查于2021年7月至8月进行,涉及韩国20家医院。
结果:在1,958例面部皮肤病中,75.9%的患者戴口罩后出现新发面部皮肤病的加重或发展。在加重或新发展的痤疮患者中(743人中有543人),相关因素是医疗保健提供者,女性性别,和长时间戴口罩。刺激症状,干燥症,和色素沉着过度在该组中更常见。严重或新发展的酒渣鼻患者(660人中有515人)可能是女性,年轻,每天戴口罩的时间很长。经历加重或从头发展的脂溢性皮炎患者(184人中有132人)更年轻,除了鼻唇沟和双颊外,它们更频繁地累及下巴和下巴。加重或从头发展的接触性皮炎患者(147人中有132人)往往是女性,涉及两个脸颊,并抱怨瘙痒。加重或新发展的特应性皮炎患者(224人中有165人)更可能是女性,在戴口罩前,研究者的基线总体评估评分较高.
结论:根据面部皮肤病的类型,临床特征和与加重相关的因素有所不同。