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白癜风与 COVID-19 大流行或 SARS-CoV-2 疫苗之间关系的各个方面:皮肤科医生的临床要点。

Various aspects of the relationship between vitiligo and the COVID-19 pandemic or SARS-CoV-2 vaccines: Clinical pearls for dermatologists.

机构信息

Autoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Department of Dermatology, Babol University of Medical Sciences, Babol, Iran.

出版信息

J Cosmet Dermatol. 2023 Apr;22(4):1152-1156. doi: 10.1111/jocd.15550. Epub 2023 Feb 9.

Abstract

BACKGROUND

Coronavirus disease 2019 (COVID-19) has given rise to several new onset or exacerbated dermatologic disorders including vitiligo.

AIM AND METHOD

Here, we present different aspects of relationship between SARS-CoV-2 infection or its associated vaccines and vitiligo and aim to provide solutions to overcome the potential challenges.

RESULTS AND CONCLUSION

In brief, as the benefits overweigh the risks and since vaccine-triggered de novo or flares of vitiligo are uncommon and benign, these patients are recommended to get SARS-CoV-2 vaccines. Moreover, in individuals with previously recognized vitiligo, who are at risk of developing SARS-CoV-2 infection or those who are currently infected, special dermatologic consultation is needed in order to balance the immunosuppressive agents in their therapeutic regimen to prevent COVID-related morbidity and mortality.

摘要

背景

2019 年冠状病毒病(COVID-19)引发了多种新发或加重的皮肤疾病,包括白癜风。

目的与方法

在此,我们介绍了 SARS-CoV-2 感染或其相关疫苗与白癜风之间关系的不同方面,并旨在提供解决方案以克服潜在挑战。

结果与结论

简而言之,由于收益大于风险,并且疫苗引发的白癜风新发病例或病情加重并不常见且良性,因此建议这些患者接种 SARS-CoV-2 疫苗。此外,对于已经确诊患有白癜风的患者,他们有感染 SARS-CoV-2 的风险,或者目前已经感染的患者,需要进行专门的皮肤科咨询,以便在治疗方案中平衡免疫抑制剂,以预防 COVID 相关的发病率和死亡率。

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引用本文的文献

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