Objective: COVID-19 disease caused panic, fear of
death, anxiety in people at the beginning of pandemic. This situation
has dramatically changed people's lifestyle and daily behavior. The aim
of our study was to determine the effects of changing lifestyle and daily
behaviours on dermatological diseases in the first months of outbreak.
Material and Methods: The diagnosis of the first patient with COVID-
19 in Turkey was established on 11 March 2020.In the same period,
between 11 March and 30 April of 2020 and 2019, 454 versus 2.903 patients
were admitted to the dermatology outpatient clinic and included
in the study. The rates of dermatological diseases were compared. Pearson’s
chi-square test was used for statistical analysis. Results: Most of
the patients were women (59.2 and 64.8%), and the average ages of the
patients were 36.6±17.5 and 35.1±18.2 years for these time periods.
Although admission to the hospital for those under 20 years of age due
to curfew was decreased (16.8-10.1%), acne frequency increased (18.6-
21.1%, p=0.198). The frequency of psoriasis among papulosquamous
diseases significantly increased (p=0.016). Urticaria (4.33-9.47%,
p<0.001), drug eruptions (0.17-1.32%, p<0.001), and dermatitis and
eczema (25.52-30.44%, p=0.025) significantly increased. The frequency
of alopecia areata among hair disorders significantly increased
(p=0.005). Rosacea (1.59-0.44%, p=0.05), bacterial infections (1.45-
0.44%, p=0.046), fungal infections (5.29-3.3%,p=0.042) and xerosis
cutis (6.26-1.1%, p=0.025) significantly decreased. Admissions due to
benign skin diseases (1.38-0%, p=0.012) significantly decreased.
Conclusion: We consider that this study will contribute to providing
the needed-evidence for the prevention and treatment of dermatological
comorbidities by helping to identify the effects of changing lifestyles
and daily behaviours on dermatological diseases because of the novel experimental
environment created by the COVID‐19 outbreak.
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Liken planus sık görülen mukoza ve deriyi tutan inflamatuar bir hastalıktır. Liken planus insidansı %0,1-4’tür.Palmoplantar liken planus ise hastalığın nadir görülen bir variantıdır. Palmoplantar liken planus’un birçok klinikformu vardır. Eroziv veya ülseratif palmoplantar liken planus, klasik liken planusun çok ender görülen ve dahaziyade oral ve genital mukozaları tutan bir formudur.59 yaşındaki kadın hasta kliniğimize, sağ ayak topuğunda uzun süredir uygulanan tedavilere rağmen iyileşmeyenağrılı yara şikâyeti ile başvurdu. Skuamöz hücreli karsinom ön tanısı ile biyopsi yapıldı. Biyopsi sonucunda likenplanus tanısı konuldu. Hastanın yapılan dermatolojik muayenesinde liken planusa ait başka bir deri lezyonuyoktu. Hasta aynı zamanda romatoloji tarafından Sjögren tanısı ile takip ve tedavi edilmekte idi. Kan analizlerindeANA + idi. Hastaya sistemik steroid, oral retinoid ve PUVA tedavileri uygulandı. Hastada kısmi iyileşme sağlandı.Eroziv plantar liken planus literatürde çok az sayıda bildirilmiştir. Eroziv plantar liken planusun tedavisi endergörülmesi sebebiyle zordur ve standardize edilememiştir. Literatürde otoimmün tiroidit, primer bilier siroz veSjögren sendromu ile birliktelikler bildirilmiştir.Bu kadın olgumuzu, klasik liken planusun nadir bir varyantı olması ve Sjögren sendromuna eşlik etmesinedeniyle sunmayı uygun bulduk.
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