Social isolation: main dermatosis and the impact of stress during the COVID-19 pandemic

Mangini, Carolina Soutto Mayor; Vasconcelos, Rossana Cantanhede Farias de; Rodriguez, Eduarda Villela Rosa; Oliveira, Isabela Romeu Lorenzon de

doi:10.31744/einstein_journal/2022AO6320

Brasil

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ORIGINAL ARTICLE • Einstein (São Paulo) 20 • 2022 • https://doi.org/10.31744/einstein_journal/2022AO6320 linkcopy

Social isolation: main dermatosis and the impact of stress during the COVID-19 pandemic

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective To analyze the pattern of triggering and exacerbation of dermatological diseases between March and July 2020 and to compare this pattern to the corresponding period of 2019.

Methods This was a quantitative, descriptive, comparative and documentary study that was carried out through the retrospective analysis of medical records (March to July 2019 and 2020) of individuals assisted at a private dermatology practice service located in the southern area of the city of São Paulo (SP).

Results We evaluated 992 medical consultations in 2019 and 1,176 in 2020. In 2020, we observed a significant increase in cases of telogen effluvium (276%), psoriasis (1,400%), atopic dermatitis (178%), seborrheic dermatitis (200%), herpes zoster (1,200%) and vitiligo (433%). All diseases had stress as a possible initial trigger. In addition, fragile nail syndrome and contact dermatitis, pathologies associated with behavioral measures, also had an important increase in the prevalence (6,400% and 5,500%, respectively). However, the number of aesthetic procedures decreased by approximately 54% during the pandemic period.

Conclusion During the pandemic period, the pattern of incidence of dermatoses had changed compared with the previous year. An emphasis was observed on diseases triggered by a psychological component, as well as those pathologies that have behavioral measures as the main cause. For this reason, the impacts of COVID-19 is greater than only among those infected.

Skin diseases; Stress, psychological; Coronavirus infections; COVID-19; Pandemics; Social isolation

Diagnosis	2019	2020	Total	p value

	n (%)	n (%)	n (%)
Telogen effluvium	34 (20.98)	128 (79.01)	162 (100)	<0.001*
Seborrheic dermatitis	31 (25)	93 (75)	124 (100)	<0.001*
Acne	89 (49.17)	92 (50.82)	181 (100)	0.833
Fragile nail syndrome	1 (1.53)	64 (98.46)	65 (100)	<0.001*
Contact dermatitis	1 (1.78)	55 (98.21)	56 (100)	<0.001*
Folliculitis	24 (36.36)	42 (63.63)	66 (100)	0.003*
Atopic dermatitis	23 (26.43)	64 (73.56)	87 (100)	<0.001*
Rosacea	11 (21.56)	40 (78.43)	51 (100)	<0.001*
Onycholysis	4 (10.25)	35 (89.74)	39 (100)	<0.001*
Melasma	34 (51.51)	32 (48.48)	66 (100)	0.861
Urticaria	6 (27.27)	16 (72.72)	22 (100)	0.006*
Vitiligo	3 (15.78)	16 (84.21)	19 (100)	<0.001*
Shingles	1 (7.14)	13 (92.85)	14 (100)	<0.001*
Actinic keratosis	4 (25)	12 (75)	16 (100)	0.013*
Erythema polymorphous	8 (44.44)	10 (55.55)	18 (100)	0.738
Alopecia areata	1 (11.11)	8 (88.88)	9 (100)	0.004*
Skin cancer	1 (16.66)	5 (83.33)	6 (100)	0.083
Onychomycosis	9 (81.81)	2 (18.18)	11 (100)	0.010*
Aesthetic treatments	705 (65.09)	378 (34.9)	1,083 (100)	<0.001*
Total of consultations	992 (45.75)	1,176 (54.24)	2,168 (100)	<0.001*

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Instituto Israelita de Ensino e Pesquisa Albert Einstein Avenida Albert Einstein, 627/701 , 05651-901 São Paulo - SP, Tel.: (55 11) 2151 0904 - São Paulo - SP - Brazil
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[TFN1] * p<0.05.