Fahimeh Abdollahimajd; Reem Diab; Hamideh Moravvej; Ayda Bahmanjahromi; Sahar Dadkhahfar; Azadeh Goodarzi; Afsaneh Sadeghzadeh Bazargan; Sayyed Mojtaba Nekooghadam; Mohammad Nikvar; Mohammad Shahidi Dadras
Abstract
Background: Cutaneous manifestations of coronavirus disease 2019 (COVID-19) are not uncommon and can be the presenting sign of the disease. We aimed to investigate the cutaneous manifestations in COVID-19 patients.Methods: This cross-sectional study was performed on COVID-19 patients referred to Shohada-e ...
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Background: Cutaneous manifestations of coronavirus disease 2019 (COVID-19) are not uncommon and can be the presenting sign of the disease. We aimed to investigate the cutaneous manifestations in COVID-19 patients.Methods: This cross-sectional study was performed on COVID-19 patients referred to Shohada-e Tajrish and Modarres hospitals, Tehran, Iran, from January 1, 2021 to March 31, 2021. Patients with cutaneous lesions were included in the study; if needed, patients were visited in person, and a biopsy was taken.Results: Of the 100 COVID-19 patients in this study, with a mean age of 45.53 ± 17.75 years, 37 (37%) were males. The most common cutaneous manifestation was urticaria (21%), followed by maculopapular eruptions (17%), petechiae/purpura (15%), pityriasis rosea-like lesions (15%), erythema multiforme (7%), pernio (6%), Vesicles/pseudovesicles/bullae (5%), and others (24%). Most lesions were erythematosus (87.63%). Legs (40%) were most frequently involved. The most common accompanying symptom was pruritus (52%), followed by burning sensations (18%) and pain (7%). Six patients had mucosal lesions; these lesions were the only mucocutaneous manifestations in three of them. Skin biopsies were taken from 11 patients, revealing epidermal changesin 10 (90.9%), dermal changes in 7 (63.6%), mucin deposition in 1 (9.1%), perivascular lymphocyte infiltration in 10 (90.9%), and neutrophil infiltration in 1 (9.1%).Conclusion: The frequency of skin manifestations was relatively high in this study, with urticaria as the most common cutaneous presentation of COVID-19. Special attention must be paid to the cutaneous lesions of COVID-19.
Shaghayegh Shahrigharahkoshan; Fariba Ghalamkarpour; Mohammadhossein Ghasempourabadi; Fahimeh Abdollahimajd
Abstract
The coronavirus disease 2019 (COVID-19) pandemic, the scale of its damage to all sectors, and its high rate of mortality urgently called all scientists and researchers into action to find solutions that can mitigate its multi-dimensional burden. As of October 1st, 2021, COVID-19 has claimed more than ...
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The coronavirus disease 2019 (COVID-19) pandemic, the scale of its damage to all sectors, and its high rate of mortality urgently called all scientists and researchers into action to find solutions that can mitigate its multi-dimensional burden. As of October 1st, 2021, COVID-19 has claimed more than 4.5 million lives and infected more than 200 million individuals. Therefore, every small effort that can positively contribute to the alleviation of the disease and its spread can tremendously help minimize the damage. The application of light as a therapeutic agent has been effective since the beginning of civilization. During the last century, artificial light and its combination with other chemical substances to fight microorganisms have been applied substantially in many domains, such as therapeutics and immunomodulation. In this review, we present the scalable application of light as an antimicrobial and immunomodulatory agent and its potential in fighting COVID-19 and in mitigating its damages by representing the recent developments in this area.
Mohammad Shahidi-Dadras; Farnaz Araghi; Fahimeh Abdollahimajd; Mehdi Gheisari; Ali Forghanian; Sahar Dadkhahfar
Abstract
During the current coronavirus disease 2019 (COVID-19) pandemic, patients with malignancies like primary cutaneouslymphomas (PCLs) are considered at high risk for severe disease progression given their underlying condition. Mycosis fungoides (MF) is a type of PCL that often needs lifelong treatments, ...
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During the current coronavirus disease 2019 (COVID-19) pandemic, patients with malignancies like primary cutaneouslymphomas (PCLs) are considered at high risk for severe disease progression given their underlying condition. Mycosis fungoides (MF) is a type of PCL that often needs lifelong treatments, including immunosuppressive drugs that predispose patients to catastrophic COVID-19 outcomes. Accordingly, several issues are to be addressed in the management of patients with MF. First of all, patients with this chronic condition may lose access to healthcare services such as phototherapy and inpatient treatments like electron beam therapy. Secondly, the patients’ anxiety of becoming infected while referring for the follow-up visits might impair their adherence to treatments. Finally, the current situation may affect the management strategies of dermatologists adopted for MF patients.We decided to perform this teledermatology study to assess the clinical condition of patients with MF in our referral center. We also evaluated patients’ perceived anxiety during the COVID-19 pandemic based on the Corona Disease Anxiety Scale (CDAS). Our results demonstrated that lockdown could influence adherence to treatment modalities (especially phototherapy) in these patients.
Mohammad Reza Pourani; Fahimeh Abdollahimajd
Abstract
Hand hygiene is one of the most crucial measures against coronavirus disease 2019 (COVID-19) transmission; however, frequent handwashing may lead to contact dermatitis causing many problems. Occupational hand dermatitis is a relatively common but challenging issue that imposes a negative effect on the ...
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Hand hygiene is one of the most crucial measures against coronavirus disease 2019 (COVID-19) transmission; however, frequent handwashing may lead to contact dermatitis causing many problems. Occupational hand dermatitis is a relatively common but challenging issue that imposes a negative effect on the quality of life, work performance, and adherence to hygiene principles. We performed a cross-sectional study to assess the psychosocial impacts of hand dermatitis on healthcare workers (HCWs) using an online Persian version of the Nordic Occupational Skin Questionnaire (NOSQ-2002). Sixty-three from a total of 390 HCWs (21%) reported that hand eczema had adverse effects on their occupation, such as a necessity to use gloves (17.3%) and decreased adherence to hand hygiene (14%). HCWs reported a higher exacerbation of hand dermatitis in winter (40.3%) and fall (24.7%). Hand dermatitis exerted a significant impact on sporting activities, sleep, social life, mood, and sex in 17.7%, 43.3%, 44.3%, 66%, and 11.7% of HCWs, respectively. It seems that hand dermatitis-related impairment of the mentioned activities has increased in HCWs during the COVID-19 pandemic.
Mohammad Shahidi Dadras; Sahar Dadkhahfar; Ayda Bahmanjahromi; Hannane Seifian; Fahimeh Abdollahimajd
Abstract
The coronavirus disease 2019 (COVID-19) has emerged as a worldwide pandemic. In addition to pulmonary symptoms, reports of the involvement of other organs such as the skin are being published. We present the cases of three COVID-19 patients who presented with cutaneous manifestations ...
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The coronavirus disease 2019 (COVID-19) has emerged as a worldwide pandemic. In addition to pulmonary symptoms, reports of the involvement of other organs such as the skin are being published. We present the cases of three COVID-19 patients who presented with cutaneous manifestations and review the previous reports. Purpura and petechiae, erythematous papules andmacules, and urticarial eruptions are signs seen in the presented cases. Although a growing number of cutaneous manifestations of COVID-19 have been reported, there is no doubt that further reports of both typical and atypical presentations are needed to confirm and understand skin involvement in COVID-19. Since COVID-19 manifests in various forms, dermatologists, as thefirst line of dealing with patients who come with skin rashes, should always be aware of the early diagnosis of this disease.
Mohammadreza Barzegar; Atefe Golfeshan; Fahimeh Abdollahimajd; Zahra Asadi-Kani
Volume 19, Issue 1 , 2016, , Pages 32-34
Farhad Malekzad; Farahnaz Bidari Zerehpoosh; Fahimeh Abdollahimajd; Samira Salajeghe; Armaghan Kazeminejad
Volume 17, Issue 3 , 2014, , Pages 104-106
Abstract
Nevus lipomatosus superficialis (NLS) is a hamartomatous skin lesion defined by the presence of mature adipose tissues among the collagen bundles of the dermis. It is classified into two forms:the classical form and the solitary form. The classical NLS most commonly involves the pelvic ...
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Nevus lipomatosus superficialis (NLS) is a hamartomatous skin lesion defined by the presence of mature adipose tissues among the collagen bundles of the dermis. It is classified into two forms:the classical form and the solitary form. The classical NLS most commonly involves the pelvic or gluteal region. In this paper, we report a case of classical NLS over the neck because of its atypicalsite. In addition, our patient had some uncommon features of NLS such as the presence of comedo-like lesions on the plaque and a foul-smelling discharge.
Shahidi-Dadras Mohammad; Kani Zahra Asadi; Yousefi Maryam; Reza Jaffari Fesharaki; Fahimeh Abdollahimajd; Seyed-Mostafa Razavi
Volume 17, Issue 1 , 2014, , Pages 35-38
Abstract
We hereby report a 79-year-old Iranian man presenting with nail dystrophy and subsequent development of purpuric and ecchymotic plaques, hemorrhagic bullae, and infiltrated papules on the head, neck and trunk. Histological examination of the gingiva, bone marrow aspiration, and biopsy confirmed the diagnosis ...
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We hereby report a 79-year-old Iranian man presenting with nail dystrophy and subsequent development of purpuric and ecchymotic plaques, hemorrhagic bullae, and infiltrated papules on the head, neck and trunk. Histological examination of the gingiva, bone marrow aspiration, and biopsy confirmed the diagnosis of primary systemic amyloidosis. In this case, nail dystrophy was the presenting sign of primary systemic amyloidosis, which is a recognized but rare manifestation of this disorder. According to this case report, we could suggest that nail dystrophy may provide a clue for early diagnosis of primary systemic amyloidosis, which would ultimately increase the survival of the patient.
