The effect of COVID-19 on development of hair and nail disorders: a Turkish multicenter, controlled study.
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Kutlu Ömer, Demircan Yuhanize Taş, Yıldız Kenan, Kalkan Gӧknur, Demirseren Duriye Deniz, An İsa, Oba Muazzez Çiğdem, Emre Selma, Şenel Engin, Bilgili Serap Güneş, Savaş Sevil Erdoğan, Aktürk Aysun Şikar, Türkmen Dursun, Çakmak Seray Külcü, Kulaklı Sevgi, Demirbaş Abdullah, Altunışık Nihal, Coşansu Nur Cihan, Aksoy Güneş Gur, Tosun Mustafa, Kurt Birgül Özkesici, Şentürk Nilgün, Şener Serpil, Özden Hatice Kaya, Temiz Selami Aykut, Atak Mehmet Fatih, Süslü Hülya, Oğuz Işil Deniz, Kılıç Sevilay, Ustaoğlu Eda, Topal İlteriş Oğuz, Akbulut Tuğba Özkök, Korkmaz İbrahim, Kılıç Arzu, Hızlı Pelin, Küçük Özlem Su, Çaytemel Ceyda, Kara Rabia Öztaş, Koska Mahmut Can, Tatar Kübra, Dikicier Bahar Sevimli, Ağırgöl Şenay, Akşan Burak, Karadağ Ayşe Serap
Аннотация
METHODS: This is a multicenter study conducted on consecutive 2171 post-COVID-19 patients. Patients who developed hair and nail disorders and did not develop hair and nail disorders were recruited as subject and control groups. The type and frequency of hair and nail disorders were examined.
RESULTS: The rate of the previous admission in hospital due to COVID-19 was statistically significantly more common in patients who developed hair loss after getting infected with COVID-19 (P < 0.001). Telogen effluvium (85%) was the most common hair loss type followed by worsening of androgenetic alopecia (7%) after COVID-19 infection. The mean stress scores during and after getting infected with COVID-19 were 6.88 ± 2.77 and 3.64 ± 3.04, respectively, in the hair loss group and were 5.77 ± 3.18 and 2.81 ± 2.84, respectively, in the control group (P < 0.001, P < 0.001). The frequency of recurrent COVID-19 was statistically significantly higher in men with severe androgenetic alopecia (Grades 4-7 HNS) (P = 0.012; Odds ratio: 2.931 [1.222-7.027]). The most common nail disorders were leukonychia, onycholysis, Beau's lines, onychomadesis, and onychoschisis, respectively. The symptoms of COVID-19 were statistically significantly more common in patients having nail disorders after getting infected with COVID-19 when compared to the control group (P < 0.05).
CONCLUSION: The development of both nail and hair disorders after COVID-19 seems to be related to a history of severe COVID-19.