A pilot study assessing the various dermatoses associated with the use of a face mask during the COVID-19 pandemic

Abstract

Background: An occupational disease is any disease developing primarily as a result of exposure to risk factors arising from work activity and contributing to a significant portion of work-related diseases. Although COVID-19 is not dermatotropic, prolonged contact with personal protective equipment—that is, goggles, face shields, N95 respirators, double-layered gloves, etc.—may cause various dermatoses. Several dermatoses due to PPE have been well documented, but facial dermatoses specifically due to the use of face masks remain a relatively uncharted entity. In this study, we report preliminary data on individuals experiencing various facial dermatoses due to the use of face masks. Objective: The aim was to study the various facial dermatoses associated with the use of a face mask. Materials and Methods: After obtaining informed consent, individuals using a face mask were enrolled in this single-institution, questionnaire-based, cross-sectional study. Results: A total of 364 participants were enrolled for the study, among which 59.3% revealed to have worn a face mask for more than six months. A majority used ear-looped N95 masks. Nine problem areas were identified in the study. Among the facial dermatoses observed, acne was the most frequently reported, followed by redness. Conclusion: In spite of contact dermatitis arising due to masks, it is recommended to use well-fitted and comfortable masks for sufficient periods of time to reduce the risk of transmission, ensure safety, and reduce maskrelated side effects.