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

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.

A identificação das exacerbações clínicas na asma e dermatite atópica após COVID-19

“…Uma pesquisa realizada com 1.176 brasileiros durante a pandemia em 2020 concluiu que houve um aumento de 41% das lesões eczematosas, como a dermatite atópica (Mangini et al, 2022). A dermatite atópica é uma doença que vem afetando cada vez mais a sociedade nos últimos anos (Miodońska et al, 2021).…”

“…Em estudo realizado por Mangini et al (2022), em consultório particular de dermatologia localizado na cidade São Paulo, Brasil, foram analisadas 992 consultas em 2019 e 1.176 em 2020 de pacientes de qualquer faixa etária e sexo, com histórico de doença dermatológica. No período de 2019, sem isolamento social, as consultas representaram maior relação com onicomicose e procedimentos estéticos.…”

Enhancing Skin Anti-Aging through Healthy Lifestyle Factors

“…This isolation resulted in cutaneous changes in the general public, patients, and health care workers [198][199][200]. In general, there was an increase in atopic dermatitis, psoriasis, rosacea plus many other skin inflammatory diseases [199][200][201]. However, much of the increase was due to allergic dermatitis induced by hypersensitivity to personal protective equipment (PPE; masks, goggles, face shields, gloves, heat stress, etc.)…”

Vitiligo, estrés psicológico y bioquímica del cerebro: Una revisión sistemática desde la neurociencia

“…Por su parte, Savaş et al (2021) buscaron hallazgos psiquiátricos en grupos de niños y adolescentes con alopecia areata y vitiligo e identificaron que los eventos estresantes fueron más comunes en pacientes pediátricos con vitiligo que en aquellos con alopecia. Mangini et al (2022) publicaron el patrón de desencadenamiento y exacerbación de enfermedades dermatológicas en el periodo de la pandemia por Covid-19. Específicamente de vitiligo identificaron 16 casos en pandemia, lo que llevó a los autores a concluir que el aumento significativo de la prevalencia de psicodermatosis en el período de aislamiento social, demuestra que el estrés es un factor de riesgo significativo para el establecimiento y exacerbación de las dermatosis.…”

“…Otros estudios señalan al estrés psicológico como un factor precipitante en el desarrollo del vitiligo, el cual puede estar correlacionado con el género (Hamidizadeh et al, 2020), resultado compatible con estudios que indican que las mujeres con vitiligo tienen peor calidad de vida al compararse con hombres que poseen el diagnóstico, igualmente las mujeres casadas en comparación con mujeres solteras (Al-Sadi et al, 2015).La enfermedad, también está asociada a ciertos rasgos de la personalidad como la cavilación y la rumiación que prevalecen en el individuo con vitiligo (Do Bú et al; La evidencia científica tributa que el estrés psicológico es más común en el vitiligo que en otras enfermedades psicodérmicas (Dai et al, 2021;Mangini et al, 2022). El estrés agudo y crónico puede causar un desbalance en los circuitos neuronales que intervienen en funciones cognitivas como la toma de decisiones, acelerar los niveles de ansiedad y los cambios de humor, generando un desbalance que afecta la fisiología del sistema neuroendocrino, autónomo, inmune y metabólico (Oken, Chamine, & Wakeland, 2015).…”