Gulsunay Ilayda Esna, Erdem Yasemin, Altunay Ilknur Kivanc
Department of Dermatology, University of Health Sciences Türkiye, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Türkiye.
Department of Dermatology, Istanbul University Faculty of Medicine, Istanbul, Türkiye.
Sisli Etfal Hastan Tip Bul. 2023 Dec 29;57(4):567-568. doi: 10.14744/SEMB.2023.38107. eCollection 2023.
Koebner phenomenon of skin diseases due to face masks have been reported since COVID-19 pandemic, especially in psoriasis patients. Although there are reports on Koebner phenomenon in pemphigus patients in the literature, pemphigus lesions triggered by face masks have not been described previously. Herein, we report one case of pemphigus vulgaris and one case of pemphigus vegetans with new and persistent lesions on the nose following prolonged use of face masks. Both cases had persistent pemphigus lesions on their noses where face masks irritated the most. The development of lesions after the use of masks and the persistence of nasal lesions despite the improvement of other skin lesions with the treatment in both cases, suggested that minor traumas due to the use of masks played a role in the formation of lesions.
自新冠疫情以来，已有因口罩导致皮肤病出现同形反应的报道，尤其是在银屑病患者中。尽管文献中有关于天疱疮患者同形反应的报道，但此前尚未描述过由口罩引发的天疱疮皮损。在此，我们报告1例寻常型天疱疮和1例增殖性天疱疮患者，在长时间佩戴口罩后鼻子上出现新的持续性皮损。两例患者鼻子上均有持续性天疱疮皮损，此处是口罩刺激最严重的部位。两例患者在使用口罩后出现皮损，且尽管其他皮肤损害经治疗有所改善，但鼻部皮损仍持续存在，这表明使用口罩造成的轻微创伤在皮损形成中起了作用。
