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COVID‐19 related masks increase severity of both acne (maskne) and rosacea (mask rosacea): Multi‐center, real‐life, telemedical, and observational prospective study

Dermatologic Therapy Feb 24, 2021

Damiani G, Gironi LC, Grada A, et al. - Given that masks are essential for COVID‐19 prevention, but have recently been suggested to modify cutaneous facial microenvironment and trigger facial dermatoses, researchers conducted this multi‐center, real‐life, observational prospective study to assess mask‐related rosacea and acne (maskne) in untreated patients during the lockdown. They enrolled stable, untreated patients with acne and rosacea who wore masks for at least 6 h/day during the lockdown. They had two teledermatological consultations at the baseline and 6 weeks later. Clinical, pharmacological, and psychological data have been recorded. This study enrolled a total of 66 patients, 30 (median age: 34.0 [30.25‐29.75] yoa) with acne and 36 patients (median age: 48 [43‐54] years) with rosacea. Patients with acne showed an increased Global Acne Grading Scale score in mask‐related areas after 6 weeks of mask and quarantine. Similarly, after 6 weeks of mask and quarantine, rosacea patients showed a deterioration in both physician and patient-reported outcomes. Notably, patients have also registered a statistically important decline in their quality of life. Masks seem to trigger both acne and rosacea flares. Additional studies are required to generate evidence and inform clinical decision‐making.

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