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2.
J Cosmet Dermatol ; 20(7): 2001-2003, 2021 Jul.
Article in English | MEDLINE | ID: covidwho-1099725

ABSTRACT

Coronavirus disease 2019 (COVID-19) is a multisystemic disease that can cause progressive lung failure, organ dysfunction, and coagulation disorder associated with high mortality and morbidity. COVID-19 is known to either primarily cause skin symptoms or increase existing skin diseases. Human papillomavirus (HPV) is a DNA virus that can cause benign and malignant neoplasms. Mucocutaneous verruca vulgaris are common benign lesions of HPV. Here, we report a case of verruca vulgaris regressed after COVID-19.


Subject(s)
Alphapapillomavirus , COVID-19 , Papillomavirus Infections , Humans , Papillomaviridae , Papillomavirus Infections/complications , SARS-CoV-2
3.
Dermatol Ther ; 33(4): e13476, 2020 Jul.
Article in English | MEDLINE | ID: covidwho-944657

ABSTRACT

COVID-19 disease is a highly contagious and particularly popular problem in all countries. A variety of repurposed drugs and investigational drugs such as remdesivir, chloroquine, hydroxychloroquine, ritonavir, lopinavir, interferon-beta, and other potential drugs have been studied for COVID19 treatment. We reviewed the potential dermatological side-effects of these drugs.


Subject(s)
Antiviral Agents/adverse effects , Betacoronavirus , Coronavirus Infections/drug therapy , Drug-Related Side Effects and Adverse Reactions/epidemiology , Pandemics , Pneumonia, Viral/drug therapy , Skin Diseases/chemically induced , Antiviral Agents/therapeutic use , COVID-19 , Coronavirus Infections/epidemiology , Global Health , Humans , Incidence , Pneumonia, Viral/epidemiology , SARS-CoV-2 , Skin Diseases/epidemiology , COVID-19 Drug Treatment
4.
Dermatol Ther ; 34(1): e14507, 2021 Jan.
Article in English | MEDLINE | ID: covidwho-913539

ABSTRACT

COVID-19 is a multisystem disease caused by severe acute respiratory syndrome coronavirus 2. It has been declared a pandemic by the World Health Organization in March 2020 and the outbreak still keeps its impacts worldwide. Behçet disease (BD) is a multi-systemic vasculitis involving the skin, mucosa, eyes, joints, nervous system, cardiovascular system, and gastrointestinal system. The precise etiopathogenesis of the disorder is unknown but autoimmunity is believed to play a key role. A considerable part of patients with BD are susceptible to immunosuppression and are more predisposed to infections than healthy individuals. Hence, the protection and control measures for patients with BD against the COVID-19 are of the utmost significance. Given the requirement to balance proper treatment of BD with the smallest risk of COVID-19 associated mortality and morbidity, we aimed to review the management of BD in the era of the pandemic with a special focus on treatment considerations. According to current expert recommendations, there is no reason to discontinue topical treatments, colchicine, and nonsteroidal antiinflammatory drugs. Systemic steroids can be used at the lowest possible dose if needed. Ongoing treatments can be continued unchanged in patients with no suspected or confirmed COVID-19. In cases with COVID-19 symptoms, immunosuppressive and biological agents can be temporarily stopped but the decision should be made on a case by case basis. Considering their potential beneficial effects on the course of COVID-19, colchicine, pentoxifylline, and dapsone can be considered as safe treatment options in BD.


Subject(s)
Behcet Syndrome , COVID-19 , Behcet Syndrome/diagnosis , Behcet Syndrome/drug therapy , Behcet Syndrome/epidemiology , Humans , Immunosuppressive Agents/therapeutic use , Pandemics , SARS-CoV-2
5.
Dermatol Ther ; 33(5): e13449, 2020 09.
Article in English | MEDLINE | ID: covidwho-832333

ABSTRACT

Nowadays, medical doctors are fighting with new coronavirus, COVID-19 problem in all countries. Corona means a circular crown, from the Latin word for "crown or garland." We summarized some corona-associated skin problems and also skin involvement like-crown in dermatology.


Subject(s)
Dermatology , Terminology as Topic , Humans , SARS-CoV-2 , Skin Diseases/diagnosis , Skin Diseases/therapy
7.
Dermatol Ther ; 33(4): e13696, 2020 Jul.
Article in English | MEDLINE | ID: covidwho-787697

ABSTRACT

COVID-19 is a highly contagious respiratory tract infection caused by severe acute respiratory syndrome coronavirus 2. COVID-19 outbreak, which caused thousands of deaths, has been declared a pandemic by the World Health Organization in March 2020. The infection has been reported to demonstrate different types of cutaneous manifestations including urticarial, maculopapular, papulovesicular, purpuric, livedoid, and thrombotic-ischemic lesions. Given the high mortality rate of the infection, timely and accurate identification of relevant cutaneous manifestations may play a key role in the early diagnosis and management. In this study, we provide a review with a focus on the reported cutaneous manifestations of COVID-19.


Subject(s)
Coronavirus Infections/complications , Pneumonia, Viral/complications , Skin Diseases/virology , Betacoronavirus , COVID-19 , Diagnosis, Differential , Humans , Pandemics , SARS-CoV-2
8.
Dermatol Ther ; 33(4): e13438, 2020 Jul.
Article in English | MEDLINE | ID: covidwho-787624

ABSTRACT

Severe acute respiratory syndrome-corona virus-2, which causes coronavirus disease 2019 (COVID-19), is highly contagious and a particularly popular problem in all around the World and also in all departments of every hospital. In order to protect the well-being of health care providers while providing a sufficient workforce to respond to the COVID-19 are vital for pandemic planning. In this article, we will discuss this problem from a dermatological aspect.


Subject(s)
Coronavirus Infections/epidemiology , Dermatology , Pneumonia, Viral/epidemiology , Skin Diseases/etiology , Betacoronavirus/isolation & purification , COVID-19 , Coronavirus Infections/complications , Humans , Pandemics , Pneumonia, Viral/complications , SARS-CoV-2 , Skin Diseases/therapy
9.
Dermatol Ther ; 33(6): e14265, 2020 11.
Article in English | MEDLINE | ID: covidwho-742079

ABSTRACT

COVID-19 is a serious multisystem disease caused by severe acute respiratory syndrome coronavirus 2. Due to the COVID-19 crisis, that still keeps its impacts worldwide, numerous scheduled medical activities have been postponed and this interruption has a potential to modify the management of many cutaneous conditions including pemphigus. This narrative review aims to discuss the management of pemphigus in the era of COVID-19, considering the necessity to balance suitable pemphigus treatment with minimal risk of COVID-19-related mortality and morbidity. The data on the effect of treatments used for pemphigus on COVID-19 are limited. However, the evidence to manage patients properly is evolving and our knowledge is updated. Current expert recommendations include that patients with pemphigus should be informed clearly to avoid mismanagement and they should be monitored regularly for symptoms of COVID-19. Patients with mild disease can be managed with topical or intralesional corticosteroids, dapsone, or doxycycline. Systemic corticosteroids should be tapered to the lowest effective dose during the pandemic. Prednis(ol)one ≤10 mg/d can be continued in patients with COVID-19 while prednis(ol)one >10 mg/d may be reduced considering the activity of the disease. Conventional immunosuppressive therapies should only be discontinued in confirmed cases of COVID-19. Postponing rituximab treatment should be considered on a case by case basis. Intravenous immunoglobulin is not likely to increase the risk of infection and may be considered a safe option in patients with COVID-19. Given the psychological burden brought by COVID 19, online or face-to-face psychological support programs should be considered.


Subject(s)
COVID-19 , Dermatologic Agents/administration & dosage , Pemphigus/drug therapy , Dapsone/administration & dosage , Dermatologic Agents/adverse effects , Doxycycline/administration & dosage , Glucocorticoids/administration & dosage , Glucocorticoids/adverse effects , Humans , Immunoglobulins, Intravenous/administration & dosage , Immunoglobulins, Intravenous/adverse effects , Immunosuppressive Agents/administration & dosage , Immunosuppressive Agents/adverse effects
10.
Dermatol Ther ; 33(6): e14101, 2020 11.
Article in English | MEDLINE | ID: covidwho-690449

ABSTRACT

Melanoma is the most severe form of skin cancer and its incidence has increased over the past few decades. COVID-19 pandemic affected the diagnosis and management of many diseases including melanoma. In this study, we aimed to provide a review focused on the diagnosis and management of melanoma in the era of COVID-19. A comprehensive search was conducted on PubMed, Web of Science, and Google Scholar databases using the keywords "melanoma," "coronavirus," "COVID 19," and "SARS-CoV-2." The relevant guidelines published by the European Society for Medical Oncology and the National Comprehensive Cancer Network were also included. The current guidelines recommend that surgical interventions for new diagnosis of invasive primary melanoma, patients with postoperative complications, wide resection and sentinel lymph node biopsy for newly diagnosed T3-T4 melanoma, and planned surgical procedures for patients in neo-adjuvant trials should be prioritized. Surgical treatment of T3/T4 melanomas should be prioritized over T1/T2 melanomas except for any melanoma in which large clinical residual lesion is visible. Adjuvant therapies can be postponed for up to 12 weeks depending on the local center circumstances. PD-1 inhibitor monotherapy is recommended for patients starting immunologic therapy. Combination immunotherapy is still considered suitable for patients with higher-risk disease. Encorafenib and binimetinib should be prioritized for patients requiring BRAF-targeted therapy due to the lower chance of symptoms mimicking COVID-19 infection.


Subject(s)
COVID-19 , Melanoma/therapy , Skin Neoplasms/therapy , Combined Modality Therapy , Humans , Immunotherapy , Melanoma/diagnosis , Melanoma/pathology , Molecular Targeted Therapy , Practice Guidelines as Topic , Skin Neoplasms/diagnosis , Skin Neoplasms/pathology
11.
Dermatol Ther ; 33(6): e13858, 2020 11.
Article in English | MEDLINE | ID: covidwho-679805

ABSTRACT

Coronavirus disease (COVID-19) is a highly contagious respiratory infection caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19 outbreak has been declared a pandemic by the World Health Organization on March 2020. The pandemic has affected the management of psoriasis not only for those who are under treatment but also for those who are about to begin a new therapy to control their disease. An increasing number of studies in the current literature have focused on the relationship between psoriasis and COVID-19 from different perspectives. This narrative review includes searching the PubMed and Web of Science databases using the keywords "psoriasis," "psoriatic arthritis," "coronavirus," "COVID-19," and "SARS-CoV-2." The search was supplemented by manual searching of reference lists of included articles. A total of 11 relevant original investigations and 6 case studies was identified. The search was updated in May 2019. Due to the absence of randomized controlled trials, it is not likely to have a robust evidence-based approach to psoriasis management in the era of COVID-19. However, the current literature may provide some clues for safety considerations. Conventional immunosuppressive therapies such as methotrexate and cyclosporine, and anti-tumor necrosis factor agents should not be preferred due to increased risk of infection, especially in high-risk areas. The use of cyclosporine may pose additional risk due to the side effect of hypertension, which has been reported to be associated with susceptibility to severe COVID-19. Considering that the current literature has provided no conclusive evidence that biologics increase the risk of COVID-19, withdrawal of these agents should be reserved for patients with COVID-19 symptoms. The treatment approach should be personalized, considering the advantages and disadvantages for each case separately.


Subject(s)
COVID-19 , Immunosuppressive Agents/administration & dosage , Psoriasis/drug therapy , Biological Products/administration & dosage , Biological Products/adverse effects , Dermatologic Agents/administration & dosage , Dermatologic Agents/adverse effects , Humans , Hypertension/chemically induced , Hypertension/complications , Immunosuppressive Agents/adverse effects , Risk Factors
12.
J Cosmet Dermatol ; 19(9): 2162-2164, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-648610

ABSTRACT

BACKGROUND: COVID-19 virus causes coronavirus disease. AIMS: It is a highly contagious viral infection. PATIENTS/METHODS/RESULTS/CONCLUSION: In this article, we will discuss the potential phototherapy problems and also alternative options for dermatologists, ultraviolet treatment against COVID-19 virus, and vitamin D-associated problems in these coronavirus days.


Subject(s)
COVID-19 , SARS-CoV-2/radiation effects , Skin Diseases/therapy , Ultraviolet Rays , Ultraviolet Therapy , COVID-19/prevention & control , Disinfection/methods , Humans , Ultraviolet Rays/adverse effects , Vitamin D/blood , Vitamin D Deficiency/therapy
14.
Dermatol Ther ; 33(6): e13896, 2020 Nov.
Article in English | MEDLINE | ID: covidwho-613468

ABSTRACT

Cutaneous manifestations of COVID-19 disease have not yet been fully described. To describe cutaneous manifestations of COVID-19 disease in hospitalized patients. We examined the cutaneous manifestations of 210 hospitalized patients. Cutaneous findings were observed during COVID-19 infection in 52 of the patients. Lesions may be classified as erythematous scaly rash (32.7%), maculopapular rash (23%), urticarial lesions (13.5%), petechial purpuric rash (7.7%), necrosis (7.7%), enanthema and apthous stomatitis (5.8%), vesicular rash (5.8%), pernio (1.9%), and pruritus (1.9%). Cutaneous manifestations were observed statistically significantly more in certain age groups: patients of 55 to 64 and 65 to 74 years of age complained of more cutaneous manifestations than the other age groups. As for gender, there was no significant difference between male and female patients in terms of cutaneus findings. The relationship between comorbidity and dermatological finding status was statistically significant. The relationship increases linearly according to the comorbidities. According to the statistical results, the patients who were hospitalized in the intensive care unit had a higher risk of having cutaneous findings due to COVID-19 infection. With this study, we may highlight the importance of overlooked dermatological findings in patients that are hospitalized.


Subject(s)
COVID-19/virology , Hospitalization , Inpatients , SARS-CoV-2/pathogenicity , Skin Diseases, Viral/virology , Skin/virology , Adult , Aged , COVID-19/complications , COVID-19/diagnosis , COVID-19/epidemiology , Female , Host-Pathogen Interactions , Humans , Male , Middle Aged , Prognosis , Prospective Studies , Skin/pathology , Skin Diseases, Viral/diagnosis , Skin Diseases, Viral/epidemiology , Turkey/epidemiology
15.
J Cosmet Dermatol ; 19(8): 1822-1825, 2020 Aug.
Article in English | MEDLINE | ID: covidwho-618392

ABSTRACT

BACKGROUND: Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2; COVID-19), which causes coronavirus disease 2019, is highly contagious and a particularly popular problem in all around the world and also in all departments of every hospital. AIMS: Protecting the well-being of the aesthetic dermatologists while providing a sufficient workforce is vital for pandemic planning. RESULTS AND CONCLUSIONS: In this article, we will discuss this problem from an aesthetic dermatology aspect and we will review whether these procedures are safe or not.


Subject(s)
Betacoronavirus/pathogenicity , Coronavirus Infections/prevention & control , Cosmetic Techniques , Dermatology/organization & administration , Infection Control/organization & administration , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Anti-Infective Agents, Local/administration & dosage , Anti-Infective Agents, Local/standards , COVID-19 , Congresses as Topic/standards , Coronavirus Infections/epidemiology , Coronavirus Infections/transmission , Coronavirus Infections/virology , Dermatologists/organization & administration , Dermatologists/standards , Dermatology/education , Dermatology/standards , Education, Medical/organization & administration , Education, Medical/standards , Esthetics , Hand Hygiene/standards , Humans , Infection Control/instrumentation , Infection Control/standards , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Infectious Disease Transmission, Professional-to-Patient/prevention & control , Personal Protective Equipment/standards , Pneumonia, Viral/epidemiology , Pneumonia, Viral/transmission , Pneumonia, Viral/virology , SARS-CoV-2 , Telemedicine/organization & administration , Telemedicine/standards
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