Exploring the Risk Factors of Rosacea Exacerbation Associated with COVID-19 Infection or Vaccination: A Cross-sectional Study.

IF 3.7 4区 医学 Q1 DERMATOLOGY
Xidie Yin, Yiting Zhao, Liyuan Zhou, Xiaojing Liu, Yu Yan, Zhi Cao, Shu Zhan Shen, Qihang Chang, Yajing Cao, Xiuli Wang, Peiru Wang
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Abstract

COVID-19 can affect the skin, with rosacea flare-ups reported after infection or vaccination. This study compared rosacea patients with and without post-COVID-19 exacerbation to identify contributing factors. A customized electronic questionnaire was administered to rosacea patients, gathering COVID-19 infection/vaccination status, demographics, and rosacea features. Participants were classified by post-COVID-19 rosacea exacerbation vs none. Multivariable logistic regression identified risk factors. Finally, a total of 104 patients were analysed; 15.4% experienced rosacea exacerbation after COVID-19 vaccination and 28.8% after infection. Comorbidities such as metabolic diseases or allergic diseases were associated with a higher risk of rosacea exacerbation after vaccination or infection (OR = 11.083, 95% CI: 1.136-108.135). Burning and stinging symptoms predicted higher exacerbation risk after vaccination (OR = 8.978, 95% CI 1.968-40.969). Papulopustular rosacea was associated with lower risk (OR = 0.276, 95% CI: 0.066-1.160). Higher body mass index (BMI) was associated with lower exacerbation risk after vaccination (OR = 0.646, 95% CI 0.450-0.928) and infection (OR = 0.731, 95% CI: 0.572-0.933). Frequent rosacea episodes increased exacerbation risk after infection (OR = 8.288, 95% CI: 2.044-33.608). In conclusion, lower BMI was associated with higher risk of rosacea exacerbation after COVID-19 vaccination or infection. Patients with burning and stinging symptoms or a non-papulopustular subtype were more likely to experience exacerbation after vaccination.

Abstract Image

探讨与COVID-19感染或疫苗接种相关的酒渣鼻加重的危险因素:一项横断面研究
COVID-19可影响皮肤,感染或接种疫苗后会出现酒渣鼻发作。本研究比较了有和没有covid -19后加重的酒渣鼻患者,以确定影响因素。对酒渣鼻患者进行定制的电子问卷调查,收集COVID-19感染/疫苗接种状况、人口统计数据和酒渣鼻特征。参与者根据covid -19后酒渣鼻恶化与无症状进行分类。多变量logistic回归确定了危险因素。最后,共分析104例患者;15.4%的人接种新冠肺炎后酒渣鼻加重,28.8%的人感染后酒渣鼻加重。代谢性疾病或过敏性疾病等合并症与接种疫苗或感染后酒渣鼻加重的高风险相关(or = 11.083, 95% CI: 1.136-108.135)。烧灼和刺痛症状预示着接种疫苗后更高的恶化风险(OR = 8.978, 95% CI 1.968-40.969)。丘疹性酒渣鼻与较低的风险相关(OR = 0.276, 95% CI: 0.066-1.160)。较高的身体质量指数(BMI)与接种疫苗(OR = 0.646, 95% CI 0.450-0.928)和感染(OR = 0.731, 95% CI: 0.572-0.933)后恶化风险较低相关。频繁的酒渣鼻发作增加感染后加重的风险(OR = 8.288, 95% CI: 2.044-33.608)。总之,较低的BMI与COVID-19疫苗接种或感染后酒渣鼻加重的风险较高相关。有灼烧和刺痛症状或非丘疹亚型的患者在接种疫苗后更有可能出现恶化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta dermato-venereologica
Acta dermato-venereologica 医学-皮肤病学
CiteScore
4.90
自引率
2.80%
发文量
210
审稿时长
6-12 weeks
期刊介绍: Acta Dermato-Venereologica publishes high-quality manuscripts in English in the field of Dermatology and Venereology, dealing with new observations on basic dermatological and venereological research, as well as clinical investigations. Each volume also features a number of Review articles in special areas, as well as short Letters to the Editor to stimulate debate and to disseminate important clinical observations. Acta Dermato-Venereologica has rapid publication times and is amply illustrated with a large number of colour photographs.
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