Barnawi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

COVID-19 is a novel coronavirus that represents a great global health concern. It is transmitted between individuals through respiratory particles, and as there is no established effective treatment currently for the virus, it is necessary to use protective strategies such as face masks. Healthcare providers and individuals serving outdoors are required to work for long durations wearing personal protective equipment (PPE). Wearing such protective equipment may have short-or long-term effects on the skin health of these individuals. We aim to assess the prevalence and types of dermatological manifestations associated with wearing PPE for a long time during the COVID-19 pandemic period by reviewing the previous studies conducted on this subject.The medical literature, including the databases of PubMed and Google Scholar, from 2019 to 2021 was explored. The search terms included a combination of "Impact of PPE and dermatological outcome," "Wearing PPE for a long time and dermatological manifestations," "Face mask-wearing and dermatological complications," and "Wearing PPE and dermatological manifestations." The inclusion criteria are original full-text articles that reported the association of wearing PPE and dermatological manifestations and outcomes.A total of 70 articles were obtained, among which only 10 articles were eligible for the inclusion criteria. These 10 studies included a total number of 7,643 participants and covered different countries of the world. The extracted data were summarized in a table to facilitate the collection of the important findings.Dermatological complications are frequently reported in people wearing PPE and face masks, especially the ones caused due to PPE among healthcare providers as they tend to use these protective measures for longer durations.

Pyogenic granuloma (PG) is a vascular tumor originating from the skin and mucosal membranes. The most common sites include the oral and nasal cavities. It appears as a solitary erythematous lesion that bleeds easily. Various triggers were present in the literature such as pregnancy, drugs, and trauma. Trauma to the nose such as nose piercing was reported several times. However, there has been only one case study that has reported rhinoplasty as a potential trigger for the development of PG. Here, we report a case of recurrent PG following rhinoplasty in a 45-year old female.

The use of recombinant human growth hormone (rhGH) in patients with idiopathic short stature (ISS) has been an area of concern since some studies reported less desired effects of the drug in this group of patients as compared to patients with growth hormone deficiency (GHD). In addition, there were no studies addressing the effects of rhGH in Saudi children. Therefore, we conducted a retrospective study to observe the effects one year of treatment with rhGH on the mean height gain in patients with ISS and GHD. Methods This retrospective study took place at King Abdulaziz Medical City in Jeddah. The study subjects included two groups of patients (GHD vs ISS). Patients' files were reviewed from January 2000 to January 2018 using the following parameters: chronological age, bone age, height, weight, body mass index (BMI), insulin-like growth factor (IGF-1), growth hormone stimulation test, and growth velocity (GV). After one year of treatment, the height, weight, and BMI of the study subjects were monitored and assessed.

Aging of the skin naturally occurs with increasing age due to several factors involving the reduction of collagen, elastin and many other proteins which help maintain strength and integrity of the skin. Several strategies and treatments were developed to fight and slow down this unstoppable ongoing natural process, however, many of the widely available products may not be as efficient as advertised. The aim was to discuss and investigate the truths and myths about skin anti-aging products and strategies by reviewing the previous studies conducted on this subject. Google scholar database was explored to search for articles related to the current subjects starting from 2010 till 2021. The included searching terms were a combination of anti-aging strategies and efficacy, anti-aging products and myths, anti-aging products and usage of women and perception and attitude of women and anti-aging strategies. The inclusion criteria included original articles conducted on anti-aging products and strategies and full text articles. A total of 40 articles were obtained, only three articles were eligible for the inclusion criteria. The three studies included a total number of 192 participants. Some anti-aging products were found to improve skin health and improve the level of coarse and fine wrinkles and lines. However, their efficacy was limited and doesn't act as magic.