Chinese Journal of Dermatology
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A case of COVID-19 with urticaria-like rashes
Yang Ting, Shi Nian, Tian Liming, Huang Chaowei, Xie Cuilin, Liu Juan, Han Rui
Chinese Journal of Dermatology
2020,53(8 ):646 -648. DOI:10.35541/cjd.20200216
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Cutaneous manifestations of COVID-19
Gao Meng, Jiang Yiqun
Chinese Journal of Dermatology
2022,55(10 ):932 -934. DOI:10.35541/cjd.20200509
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【Abstract】 COVID-19 can be accompanied by a variety of cutaneous abnormalities, which mainly include vascular lesions （chilblain-like lesions, livedo reticularis, purpura, ecchymosis, acral cyanosis, gangrene） and inflammatory lesions （diffuse erythema, morbilliform exanthem, acute urticaria, varicella-like exanthem）. Some types of skin lesions may be the first symptom or the only clinical manifestation of COVID-19.
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Guidance on the use of biologic agents in psoriatic patients during COVID-19 outbreak
Wang Gang, Gu Heng, Zheng Min, Zhao Yi, Gu Jun, Jin Hongzhong, Liu Xiaoming, Shi Yuling, Sun Qing
Chinese Journal of Dermatology
2020,53(5 ):317 -318. DOI:10.35541/cjd.20200283
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【Abstract】 The COVID-19 outbreak may have a certain impact on the use of biologics in psoriatic patients, in the way that immunosuppressive effects of biologics may potentially alter the susceptibility of patients to the virus, deteriorate the condition of infected patients or even change the prognosis of infection. According to currently available recommendations from international psoriasis academic organizations and specialists, as well as specific situation in China, the authors provide some guidance on the use of biologics for psoriatic patients undergoing or planning to undergo treatment with biologics, those with low or high risk of infection, and for those with or without COVID-19 infection, so as to provide references for clinical practice.
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Consensus of Chinese experts on protection of skin and mucous membrane barrier for health professions fighting against coronavirus disease 2019
Chinese Journal of Dermatology
2020,53(3 ):159 -164. DOI:10.35541/cjd.20200112
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Health professions preventing and controlling coronavirus disease 2019 are prone to skin and mucous membrane injuries, which may cause acute and chronic dermatitis, secondary infections and aggravation of underlying skin diseases. This is a consensus of Chinese experts on measures and advice on hand cleaning? and medical glove?related hand protection, mask?and goggles?related face protection, ultraviolet?related protection, as well as eye, nasal and oral mucosa, outer ear and hair protection. It is necessary to strictly follow standards on wearing protective equipments and specifications on sterilizing and cleaning. Both insufficient and excessive protection will adversely affect the skin and mucous membrane barrier. At the same time, using moisturizing products is highly recommended to achieve better protection.
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Consensus of Chinese experts on pre-examination and triage in outpatient departments of dermatology at the stage of prevention and control of 2019 novel coronavirus infection
Chinese Journal of Dermatology
2020,53(3 ):165 -167. DOI:10.35541/cjd.20200119
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The 2019 novel coronavirus infection has brought big challenges to prevention and control of the national epidemic in China. During the fight against the epidemic, how to properly carry out pre?examination and triage for patients with skin lesions and fever has been a practical problem encountered in dermatology hospitals of all grades and in general hospitals with a large number of dermatological outpatient visits. The Chinese Society of Dermatology organized experts to formulate the principles and procedures for pre?examination and triage in outpatient departments of dermatology at the stage of prevention and control of the 2019 novel coronavirus infection epidemic, so as to guide the current fight against the epidemic.
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Characteristics of skin damage among healthcare workers during COVID-19 pandemic: an epidemiological survey
Chen Rui, Liang Wen, Jiang Yuwei, Fang Qiang, Yan Hongbo, Yang Bin, Zhou Fen
Chinese Journal of Dermatology
2020,53(11 ):923 -927. DOI:10.35541/cjd.20200356
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【Abstract】 Objective To investigate epidemiological features of skin damage among front-line healthcare workers fighting against COVID-19 pandemic. Methods A self-designed questionnaire was released on an online survey website “wenjuan.com”, and sent to the front-line medical staff caring for patients with confirmed COVID-19 in 6 infectious disease wards of the General Hospital of Central Theater Command of PLA via WeChat from March 10th to 20th, 2020. Then, the questionnaires were collected, a database was established, and statistical analysis was performed on the incidence, types and epidemiological characteristics of skin damage among the medical staff. Results A total of about 550 medical staff were surveyed, 404 questionnaires were collected, of which 391 were valid, and 303 cases had skin damage. The survey showed that females, hand cleaning frequency > 10 times per day, wearing three-level protective equipment for more than 6 hours per week were risk factors for skin damage, and frequent use of a hand cream could reduce skin problems. Among the respondents, the incidence of skin damage was significantly higher in the females （79.81%, 249/312） than in the males （38.35%, 54/79; χ2 = 4.741, P = 0.029）, and higher in the groups with hand cleaning frequency of 10 - 20 times per day （79.73%, 118/148） and > 20 times per day （85.71%, 84/98） than in the group with hand cleaning frequency of 1 - 10 times per day （69.66 %, 101/145; χ2 = 9.330, P = 0.009）. The incidence of skin damage was significantly lower in the group wearing protective equipment for 1 - 5 hours per week （64.04%, 73/114） than in the groups wearing protective equipment for 6 - 10 hours per week （81.48%, 66/81）, 11 - 15 hours per week （95.24%, 20/21）, 16 - 20 hours per week （81.82%, 36/44）, 21 - 25 hours per week （86.49%, 32/37）, and > 25 hours per week （80.85%, 76/94; χ2 = 19.164, P = 0.002）. Among the 391 respondents, the skin damage related to disinfection and protective equipment mainly manifested as dry skin （72.89%）, desquamation （56.78%）, skin pressure injury （54.48%）, skin maceration （45.01%）, and sensitive skin （33.50%）; acne （27.11%） was the related skin disease with the highest incidence, followed by facial dermatitis （23.27%）, eczematous dermatitis （21.48%）, folliculitis （18.92%）, dermatomycosis （11.00%）, urticaria （9.21%）, etc. Conclusion There was a high incidence of skin damage related to protective equipment among the front-line healthcare workers fighting against COVID-19, and strengthening skin protection could markedly reduce the incidence of skin damage.
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A case of COVID-19 complicated by Stevens-Johnson syndrome-like skin lesions
Xie Xiaohui, Chen Hui
Chinese Journal of Dermatology
2020,53(8 ):649 -650. DOI:10.35541/cjd.20200228
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