1
|
Chrabieh R, Haddad I, Salameh P, Kurban M, Kechichian E, Habre M, Ayoub N, Torbey G, El Sayed F, Maamari M, Tannous Z, Farra A, El Khoury J. Dermatological manifestations associated with COVID-19 and COVID-19 vaccination: results from the Lebanese COVID registry. Int J Dermatol 2023; 62:1248-1256. [PMID: 37638543 DOI: 10.1111/ijd.16815] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Revised: 05/22/2023] [Accepted: 08/11/2023] [Indexed: 08/29/2023]
Abstract
BACKGROUND A number of cutaneous manifestations and adverse cutaneous reactions have been associated with COVID-19 infection and vaccine. OBJECTIVES A Lebanese national registry was established to characterize the dermatologic manifestations and adverse cutaneous reactions associated with COVID-19 infection and vaccination in a sample of the Lebanese population. METHODS An observational cross-sectional study was conducted via a web-based clinical form distributed to physicians wishing to report their cases from May 2021 till May 2022. RESULTS In total, 142 patients were entered in the registry, of which 133 were adults and nine were pediatric patients. The main dermatological manifestations reported with COVID-19 infection in the adult group were urticaria (32.9%), telogen effluvium (21.4%), morbilliform (10%), and papulosquamous (8.6%) eruptions. Urticaria was the most common adverse cutaneous reaction to the vaccine (33%). Interestingly, herpes zoster was triggered in 12 patients post vaccination in our series with this finding more frequently seen in patients above the age of 41 (P = 0.013). In the pediatric group, the most reported dermatological findings associated with COVID-19 infection were malar erythema (25%) and telogen effluvium (25%). One 16-year-old patient developed lichen planus after one dose of a COVID-19 vaccine. No deaths were reported in both age groups. CONCLUSION This Lebanese registry adds more robust evidence that clinical manifestations of the COVID-19 virus and vaccine are diverse. More studies are necessary to establish the pathophysiology of these dermatological findings in the context of COVID-19 infection and vaccination.
Collapse
Affiliation(s)
- Remie Chrabieh
- Department of Dermatology, Gilbert and Rose Marie school of Medicine, Lebanese American University, Beirut, Lebanon
| | - Isabelle Haddad
- Department of Dermatology, American University of Beirut Medical Center, Beirut, Lebanon
| | - Pascale Salameh
- INSPECT-LB: Institut National de Santé Publique, Épidémiologie Clinique et Toxicologie, Beirut, Lebanon
- School of Medicine, Lebanese American University, Beirut, Lebanon
- Department of Primary Care and Population Health, University of Nicosia Medical School, 2417, Nicosia, Cyprus
- Faculty of Pharmacy, Lebanese University, Hadath, Lebanon
| | - Mazen Kurban
- Department of Dermatology, American University of Beirut Medical Center, Beirut, Lebanon
| | - Elio Kechichian
- Department of Dermatology, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
- Department of Dermatology, Faculty of Medicine and Health Sciences, Sherbrooke University, Sherbrooke, QC, Canada
| | - Maya Habre
- Department of Dermatology, Faculty of Medicine, Saint George University of Beirut, Saint George Hospital University Medical Center, Beirut, Lebanon
| | - Nakhle Ayoub
- Department of Dermatology, Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
| | - Gretta Torbey
- Department of Dermatology, Faculty of Medical Sciences, Lebanese University, Baabda Governmental University Hospital, Baabda, Lebanon
| | - Fouad El Sayed
- Department of Dermatology, Faculty of Medical Sciences, Lebanese University, Baabda Governmental University Hospital, Baabda, Lebanon
| | | | - Zeina Tannous
- Department of Dermatology, Gilbert and Rose Marie school of Medicine, Lebanese American University, Beirut, Lebanon
| | - Anna Farra
- Department of Internal Medicine, Division of Infectious Diseases, Gilbert and Rose Marie School of Medicine, Lebanese American University, Beirut, Lebanon
| | - Jinane El Khoury
- Department of Dermatology, Gilbert and Rose Marie school of Medicine, Lebanese American University, Beirut, Lebanon
| |
Collapse
|
2
|
Fakih A, Hajjar N, Torbey G, Mansour N, El Sayed F. Comorbidités associées à la dermatite séborrhéique. Ann Dermatol Venereol 2019. [DOI: 10.1016/j.annder.2019.09.309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
4
|
Abdallah R, Makhoul R, Yassine H, Youness Z, Torbey G, El Sayed F. Mucinose cutanée juvénile. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
5
|
El Sayed F, Torbey G, Youssef H, Chababi M. Childhood sarcoidosis: diagnostic issues. Dermatol Online J 2013; 19:20037. [PMID: 24139377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2013] [Accepted: 10/16/2013] [Indexed: 06/02/2023] Open
Abstract
Childhood sarcoidosis is a rare granulomatous disorder that affects several systems including the lungs, skin, eyes, and bones. On histopathology, non-caseating granuloma is the classic feature. We present a case of late childhood sarcoidosis of the skin, lungs, and bones demonstrating granulomas with fibrinoid necrosis, making distinction from tuberculosis difficult.
Collapse
|
7
|
Torbey G, El Sayed F, Chahine F, Aftimos G, Rubeiz N, Youssef H, Mansour Chahine N. Mucinose cutanée juvénile spontanément résolutive. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|