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在 COVID-19 大流行时代,皮肤科门诊疾病发病模式的相对变化。

Relative changes in the pattern of diseases presenting in dermatology outpatient clinic in the era of the COVID-19 pandemic.

机构信息

Department of Dermatology and Venereology, School of Medicine, Uşak University, Uşak, Turkey.

Department of Dermatology and Venereology, School of Medicine, Yıldırım Beyazıt University, Ankara, Turkey.

出版信息

Dermatol Ther. 2020 Nov;33(6):e14096. doi: 10.1111/dth.14096. Epub 2020 Aug 14.

DOI:10.1111/dth.14096
PMID:32869938
Abstract

As an increasing number of COVID-19 cases, there were changes in the number of patients who attended the dermatology outpatient clinics. We aimed to investigate the change profiles of dermatologic diseases in the first and second months of the COVID-19 pandemic in Turkey by comparing with the corresponding period of the previous year. The total number and diagnosis of patients, who attended a tertiary care hospital for the dermatology outpatient clinic between 1 April 2020 and 31 May 2020, were included in this study. These data were compared with the corresponding period of the previous year. The percentage of the patients with scabies, contact dermatitis, psoriasis, pityriasis rosea, urticaria, and alopecia areata were statistically significantly increased a month after the occurrence of the COVID-19 pandemic, while the percentage of patients with scabies, alopecia areata, telogen effluvium, acne vulgaris, and xerosis cutis were statistically significantly increased 2 months after the occurrence of the COVID-19 pandemic (P < 0.05). An increase in the number of certain diseases such as urticaria and pityriasis rosea may indicate the risk of asymptomatic COVID-19 carriage in these patients. Polymerase chain reaction (PCR) and/or antibody-based further studies should be performed to explore whether certain dermatologic diseases are related to asymptomatic COVID-19 cases.

摘要

随着 COVID-19 病例的不断增加,前往皮肤科门诊就诊的患者人数也发生了变化。我们旨在通过与前一年同期相比,调查土耳其 COVID-19 大流行的前两个月皮肤科疾病的变化情况。本研究纳入了 2020 年 4 月 1 日至 5 月 31 日期间在一家三级护理医院皮肤科门诊就诊的患者总数和诊断。将这些数据与前一年同期进行比较。在 COVID-19 大流行发生一个月后,患有疥疮、接触性皮炎、银屑病、玫瑰糠疹、荨麻疹和斑秃的患者比例统计上显著增加,而在 COVID-19 大流行发生两个月后,患有疥疮、斑秃、休止期脱发、寻常痤疮和皮肤干燥的患者比例统计上显著增加(P<0.05)。荨麻疹和玫瑰糠疹等某些疾病数量的增加可能表明这些患者存在无症状 COVID-19 携带的风险。应进行聚合酶链反应(PCR)和/或基于抗体的进一步研究,以探讨某些皮肤病是否与无症状 COVID-19 病例有关。

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