Darlenski Razvigor, Kazandjieva Jana, Tsankov Nikolai
Department of Dermatology and Venereology, Acibadem City Clinic, Tokuda Hospital, Sofia, Bulgaria; Department of Dermatology and Venereology, Medical Faculty, Trakia University, Stara Zagora, Bulgaria.
Department of Dermatology and Venereology, Medical University Sofia, Sofia, Bulgaria.
Clin Dermatol. 2021 Jan-Feb;39(1):92-97. doi: 10.1016/j.clindermatol.2020.12.017. Epub 2020 Dec 31.
The life of medical specialists worldwide has dramatically changed due to the spread of the coronavirus disease 2019 (COVID-19) pandemic. Health care professionals (HCPs) have personally faced the outbreak by being on the first line of the battlefield with the disease and, as such, compose a significant number of people who have contracted COVID-19. We propose a classification and discuss the pathophysiology, clinical findings, and treatments and prevention of the occupational skin hazards COVID-19 poses to HCPs. The multivariate pattern of occupational skin diseases during the COVID-19 pandemic can be classified into four subgroups: mechanical skin injury, moisture-associated skin damage, contact reactions, and exacerbation of preexisting dermatoses. The clinical pattern is versatile, and the most affected skin sites were the ones in contact with the protective equipment. Dermatologists should recognize the plethora of HCPs' occupational skin reactions that are occurring during the COVID-19 pandemic and implement treatment and preventive strategies.
由于2019冠状病毒病(COVID-19)大流行的蔓延,全球医学专家的生活发生了巨大变化。医护人员身处抗击该疾病的战场一线,亲身直面疫情爆发,因此,他们中有相当一部分人感染了COVID-19。我们提出一种分类方法,并讨论COVID-19给医护人员带来的职业性皮肤危害的病理生理学、临床症状、治疗方法及预防措施。COVID-19大流行期间职业性皮肤病的多因素模式可分为四个亚组:机械性皮肤损伤、与潮湿相关的皮肤损害、接触反应以及原有皮肤病的加重。临床症状多种多样,受影响最严重的皮肤部位是与防护装备接触的部位。皮肤科医生应认识到COVID-19大流行期间医护人员出现的大量职业性皮肤反应,并实施治疗和预防策略。