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2020 ; 33
(4
): e13804
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Change of the diagnostic distribution in applicants to dermatology after COVID-19
pandemic: What it whispers to us?
#MMPMID32530503
Turan Ç
; Metin N
; Utlu Z
; Öner Ü
; Kotan ÖS
Dermatol Ther
2020[Jul]; 33
(4
): e13804
PMID32530503
show ga
We aim to evaluate the change in the diagnostic spectrum in dermatology
outpatient applications compared to before COVID-19. All patients were enrolled
from the Department of Dermatology between February 12 and May 8, 2020, the
duration of 4?weeks before COVID-19 and 8?weeks after were analyzed in three
parts consisting of 4?weeks. Data obtained from the database such as age, gender,
diagnoses were anonymized. Repeated applications with the same diagnosis in
10?days after the first presentation were ignored. Compared to the pre-outbreak,
there was a 3.5-fold decrease in dermatology applications in the first month
after COVID-19 and an 8.8-fold in the second month. We found a significant
increase in the frequency of diagnoses such as generalized pruritus, pityriasis
rosea, alopecia areata, bacterial skin/mucosa diseases, and zona zoster after
COVID-19. The frequency declined in diseases such as verruca vulgaris,
hyperpigmentation, skin tag, melanocytic nevus, and seborrheic keratosis/solar
lentigo. It has been found that the frequencies of most diseases, including acne
(?25% of patients), did not change. We think that many factors, such as affecting
the quality of life, risk perception, increased stress burden may cause a change
in the diagnostic distribution of the dermatology applications.