Analysis of changes in the skin due to the use of masks in health professionals




COVID-19; Dermatoses; Masks; Health professionals.


COVID-19 is a disease caused by the SARS-CoV-2 virus and has a high incidence of propagation, given that its main form of contagion is through the dissemination of small viral particles, aerosols. Therefore, as a measure to control the spread of the pandemic, several government institutions have established the use of face protection masks as mandatory, encouraging their use for long periods and with abundant frequency. Therefore, this descriptive study aims to identify integumentary changes generated by the prolonged use of masks by health professionals, as well as to reveal the main triggering factors that interfere with these conditions. From this, the research methodology will be the application of an online questionnaire, in order to obtain quantitative data for analysis of skin changes, their causes, and care that can be adopted to prevent the emergence of occupational dermatoses. It was found that the microclimate of the skin plays a key role in maintaining skin permeability and antimicrobial action. External and genetic factors, such as the environment, temperature and pH are means that influence the skin barrier. The work points out that the main risk factors associated with the appearance of skin changes due to the use of the mask are, duration of use greater than 8 hours a day, masks of the N95/PFF2 type and female gender, as well as the most common dermatoses. prevalent among the studied population were acne and contact dermatitis.


Abdali, S., & Yu, J. de. (2021). Occupational Dermatoses Related to Personal Protective Equipment Used During the COVID-19 Pandemic. Dermatologic Clinics. 39(4), 555–68.

Altun, E., & Topaloglu Demir, F. (2021). Occupational facial dermatoses related to mask use in healthcare professionals. Journal of Cosmetic Dermatology 21(1) 2535-41.

Anvisa, (2020). Orientações gerais – Máscaras faciais de uso não profissional.

Aravamuthan, R., & Arumugam, S. (2020). Clinico-epidemiological study of mask induced acne due to increased mask use among health care workers during COVID pandemic in a tertiary care institute. International Journal of Research in Dermatology, 7(1), 48.

Balato, A., Ayala, F., Bruze, M., Crepy, M. N., Gonçalo, M., Johansen, J., John, S. M., Pigatto, P., Raimondo, A., Rustemeyer, T., Schuttelaar, M. L. A., Svedman, C., Aerts, O., Uter, W., Wilkinson, M., & Gimenez-Arnau, A. (2020). European Task Force on Contact Dermatitis statement on coronavirus disease-19 (COVID-19) outbreak and the risk of adverse cutaneous reactions European Academy of Dermatology and Venereology 34(8), 353-54.

Bhate, K., & Williams, H. C. (2013). Epidemiology of acne vulgaris. British Journal of Dermatology. 168(3), 474–85.

Brasil. (2022). Guia de vigilância epidemiológica, Painel de casos pelo coronavírus 2019 (COVID-19) no Brasil pelo Ministério de Saúde. Secretaria de Vigilância a Saúde (SVS).

Choi, S. Y., Hong, J. Y., Kim, H. J., Lee, G. Y., Cheong, S. H., Jung, H. J., Bang, C. H., Lee, D. H., Jue, M. S., Kim, H. O., Park, E. J., Ko, J. Y., & Son, S. W. (2021). Mask-induced dermatoses during the COVID-19 pandemic: a questionnaire-based study in 12 Korean hospitals. Clinical and Experimental Dermatology, 46(8), 1504–1510.

Damiani, G., Gironi, L. C., Grada, A., Kridin, K., Finelli, R., Buja, A., Bragazzi, N. L., Pigatto, P. D. M., & Savoia, P. (2021). COVID-19 related masks increase severity of both acne (maskne) and rosacea (mask rosacea): Multi-center, real-life, telemedical, and observational prospective study. Dermatologic Therapy, 34(2).

De Giorgi, V., Recalcati, S., Jia, Z., Chong, W., Ding, R., Deng, Y., Scarfi, F., Venturi, F., Trane, L., Gori, A., Silvestri, F., Gao, X. H., & Lotti, T. (2020). Cutaneous manifestations related to coronavirus disease 2019 (COVID-19): A prospective study from China and Italy. Journal of the American Academy of Dermatology, 83(2), 674–675.

Dunn, L. K., O'Neill, J. L., & Feldman, S. R. (2011). Acne in adolescents: quality of life, self-esteem, mood, and psychological disorders. Dermatology online journal, 17(1), 1.

Gu, L., Xiang, L., & Lipner, S. R. (2021). Analysis of availability of online dermatology appointments during the COVID-19 pandemic. Journal of the American Academy of Dermatology, 84(2), 517–520.

Han, C., Shi, J., Chen, Y., & Zhang, Z. (2020). Increased flare of acne caused by long-time mask wearing during COVID-19 pandemic among general population. Dermatologic Therapy. 33(4).

Keng, B. M. H., Gan, W. H., Tam, Y. C., & Oh, C. C. (2021). Personal protective equipment-related occupational dermatoses during COVID-19 among health care workers: A worldwide systematic review. JAAD International, 5, 85–95.

Rudd, E., & Walsh, S. (2021). Mask related acne (“maskne”) and other facial dermatoses. The BMJ ,373.

Soares, A., Dorlivete, P., Shitsuka, M., Parreira, F. J., & Shitsuka, R.(2018) Metodologia da Pesquisa [free e-book]. Santa Maria/RS. Ed. UAB/NTE/UFSM.Científica.

Szepietowski, J. C., Matusiak, Ł., Szepietowska, M., Krajewski, P. K., & Białynicki-Birula, R. (2020). Face mask-induced itch: A self-questionnaire study of 2,315 responders during the COVID-19 pandemic. Acta Dermato-Venereologica, 100(10), 1–5.

Techasatian, L., Lebsing, S., Uppala, R., Thaowandee, W., Chaiyarit, J., Supakunpinyo, C., Panombualert, S., Mairiang, D., Saengnipanthkul, S., Wichajarn, K., Kiatchoosakun, P., & Kosalaraksa, P. (2020). The Effects of the Face Mask on the Skin Underneath: A Prospective Survey During the COVID-19 Pandemic. Journal of Primary Care and Community Health, 11.

Teo, W. L. (2021). The “Maskne” microbiome – pathophysiology and therapeutics. Em International Journal of Dermatology 60(7), 799–809.

Yan, Y., Chen, H., Chen, L., Cheng, B., Diao, P., Dong, L., Gao, X., Gu, H., He, L., Ji, C., Jin, H., Lai, W., Lei, T., Li, L., Li, L., Li, R., Liu, D., Liu, W., Lu, Q., & Li, H. (2020). Consensus of Chinese experts on protection of skin and mucous membrane barrier for health-care workers fighting against coronavirus disease 2019. Dermatologic Therapy, 33(4).

Zuo, Y., Hua, W., Luo, Y., & Li, L. (2020). Skin reactions of N95 masks and medial masks among health-care personnel: A self-report questionnaire survey in China. Contact Dermatitis. 83(2), 145–7).



How to Cite

COLET, T. L. .; MATTOS , A. B. N. de. Analysis of changes in the skin due to the use of masks in health professionals. Research, Society and Development, [S. l.], v. 12, n. 2, p. e12812240058, 2023. DOI: 10.33448/rsd-v12i2.40058. Disponível em: Acesso em: 7 jun. 2023.



Health Sciences