From the University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
University of Rochester School of Medicine & Dentistry, Rochester, New York, USA.
Dermatitis. 2024 Mar-Apr;35(2):132-137. doi: 10.1089/derm.2023.0191. Epub 2023 Aug 31.
Prayer rituals are an integral part of the daily lives of Muslims worldwide. This comprehensive review aims to explore the common dermatoses associated with prayer among Muslims and provide insights for dermatologists to facilitate accurate diagnosis and reduce unnecessary investigations. A systematic literature search returned 367 published articles, of which 21 met the inclusion criteria. Friction-induced dermatitis was the most frequently reported dermatosis, primarily affecting the forehead, knees, dorsum of the feet, and lateral malleoli. Friction-related marks often present as hyperpigmented lichenified plaques, and are more common in elderly individuals and males. Cases of contact dermatitis and fungal infections were also reported. Allergic contact dermatitis was linked to perfume application before Friday prayers, whereas fungal infections were attributed to increased water retention between toe webs, possibly related to communal ablution and prayer areas. Awareness of these prayer-related dermatoses enables dermatologists to provide holistic care for diverse populations and targeting specific interventions with respect for patients' religious beliefs. For example, Muslim patients with symptomatic frictional dermatoses may benefit from use of padded prayer rugs, especially diabetic patients whose lesions carry an increased risk of progressing to neuropathic ulcers.
祈祷仪式是全世界穆斯林日常生活不可或缺的一部分。本综述旨在探讨与穆斯林祈祷相关的常见皮肤病，并为皮肤科医生提供见解，以促进准确诊断和减少不必要的检查。系统文献检索共检索到 367 篇已发表的文章，其中 21 篇符合纳入标准。摩擦诱导性皮炎是最常报告的皮肤病，主要影响前额、膝盖、脚背和外踝。与摩擦相关的痕迹常表现为色素沉着过度的苔藓样斑块，在老年人和男性中更为常见。也有报道接触性皮炎和真菌感染的病例。过敏性接触性皮炎与周五祈祷前使用香水有关，而真菌感染则与趾间水分潴留增加有关，这可能与公共净身和祈祷区域有关。了解这些与祈祷相关的皮肤病可使皮肤科医生为不同人群提供全面护理，并尊重患者的宗教信仰，针对特定干预措施。例如，有症状性摩擦性皮肤病的穆斯林患者可能受益于使用带衬垫的祈祷垫，特别是糖尿病患者，其病变进展为神经病变性溃疡的风险增加。
