The novel corona virus disease 2019 (COVID-19) pandemic is an unresolved global issue at present. We read the presentation “COVID-19 pandemic and the skin - what should dermatologists know?” with great interest. The contribution describes various skin problems related to personal protective equipment and personal hygiene.1 , 2
Doctors, nurses, laboratory workers, and other related medical staff have emerged as the new soldiers in every country, amid growing cases of COVID-19 across the world. While the world collectively shelters in place to protect themselves against coronavirus, medical professionals flock to the front lines to work tirelessly tending to a burgeoning number of infected people. Countless medical professionals throughout the globe are putting in extra hours and strength to help people suffering from COVID-19.
During this new corona virus epidemic treatment process, protective device–related pressure injuries and deep indentations among frontline medical staff have frequently been reported by wearing facial protective equipment for long hours.1 , 2 Protective gear is well sealed against the skin, and high-intensity work of medical staff will generate a lot of sweat. Due to the tightness of protective equipment, sweat evaporation is blocked, resulting in wet, humid skin. After the skin is stimulated by moisture, the skin surface is weakly acidic and damaged, weakening the barrier functions.3 The skin is easily susceptible to external forces such as friction and pressure damage.3 Device-related pressure injuries mostly occur in areas with less adipose tissue such as forehead, bridge of the nose and cheek.4
I would like to introduce a new term to the glossary of dermatology, as an honor and tribute to the commitment and tireless work of all the medical staff who sacrifice their precious lives, as well as currently serving with COVID-19 epidemic control and treatment care units. Doctors, nurses, and all the other paramedical staff workers possessing peculiar pressure injuries and deep indentations on their faces related to the various protective medical devices they have worn should be described as manifesting the “COVID-19 MS sign,” with MS standing for medical staff.
References
- 1.Darlenski R., Tsankov N. COVID-19 pandemic and the skin - what should dermatologists know? Clin Dermatol. 2020;38:785–787. doi: 10.1016/j.clindermatol.2020.03.012. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Elston D.M. Letter from the editor: occupational skin disease among health care workers during the coronavirus (COVID-19) epidemic. J Am Acad Dermatol. 2020;82:1085–1086. doi: 10.1016/j.jaad.2020.03.012. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Zhou Q, Xue J, Wang L, et al. Nursing strategies for skin injuries caused by facial medical grade protective equipment [e-pub ahead of print]. Chinese J Burns 10.3760/cma.j.issn.1009-2587.2020.0001, accessed February 20, 2020. [DOI] [PubMed]
- 4.Black J.M., Cuddigan J.E., Walko M.A. Medical device related pressure ulcers in hospitalized patients. Int Wound J. 2010;7:358–365. doi: 10.1111/j.1742-481X.2010.00699.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
