%0 Multicenter Study %T The effect of COVID-19 on development of hair and nail disorders: a Turkish multicenter, controlled study. %A Kutlu Ö %A Demircan YT %A Yıldız K %A Kalkan G %A Demirseren DD %A An İ %A Oba MÇ %A Emre S %A Şenel E %A Bilgili SG %A Savaş SE %A Aktürk AŞ %A Türkmen D %A Çakmak SK %A Kulaklı S %A Demirbaş A %A Altunışık N %A Coşansu NC %A Aksoy GG %A Tosun M %A Kurt BÖ %A Şentürk N %A Şener S %A Özden HK %A Temiz SA %A Atak MF %A Süslü H %A Oğuz ID %A Kılıç S %A Ustaoğlu E %A Topal İO %A Akbulut TÖ %A Korkmaz İ %A Kılıç A %A Hızlı P %A Küçük ÖS %A Çaytemel C %A Kara RÖ %A Koska MC %A Tatar K %A Dikicier BS %A Ağırgöl Ş %A Akşan B %A Karadağ AS %J Int J Dermatol %V 62 %N 2 %D Feb 2023 %M 36281828 %F 3.204 %R 10.1111/ijd.16454 %X BACKGROUND: A broad spectrum of skin diseases, including hair and nails, can be directly or indirectly triggered by COVID-19. It is aimed to examine the type and frequency of hair and nail disorders after COVID-19 infection.
METHODS: This is a multicenter study conducted on consecutive 2171 post-COVID-19 patients. Patients who developed hair and nail disorders and did not develop hair and nail disorders were recruited as subject and control groups. The type and frequency of hair and nail disorders were examined.
RESULTS: The rate of the previous admission in hospital due to COVID-19 was statistically significantly more common in patients who developed hair loss after getting infected with COVID-19 (P < 0.001). Telogen effluvium (85%) was the most common hair loss type followed by worsening of androgenetic alopecia (7%) after COVID-19 infection. The mean stress scores during and after getting infected with COVID-19 were 6.88 ± 2.77 and 3.64 ± 3.04, respectively, in the hair loss group and were 5.77 ± 3.18 and 2.81 ± 2.84, respectively, in the control group (P < 0.001, P < 0.001). The frequency of recurrent COVID-19 was statistically significantly higher in men with severe androgenetic alopecia (Grades 4-7 HNS) (P = 0.012; Odds ratio: 2.931 [1.222-7.027]). The most common nail disorders were leukonychia, onycholysis, Beau's lines, onychomadesis, and onychoschisis, respectively. The symptoms of COVID-19 were statistically significantly more common in patients having nail disorders after getting infected with COVID-19 when compared to the control group (P < 0.05).
CONCLUSIONS: The development of both nail and hair disorders after COVID-19 seems to be related to a history of severe COVID-19.