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Ramirez-Quizon M, Murrell DF. Managing epidermolysis bullosa during the coronavirus pandemic: Experience and ideals. Clin Dermatol 2021; 39:369-373. [PMID: 34517994 PMCID: PMC7849544 DOI: 10.1016/j.clindermatol.2021.01.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The 2019 novel coronavirus pandemic has tremendously affected health-seeking behaviors. Fear of contracting the disease has been a major factor keeping patients from presenting to hospitals, even when urgent or emergent medical attention is needed. Hospitals limiting staff exposure and capacity to accommodate patients also limits opportunities to seek care. Although physical distancing is encouraged to curb infections, this call needs to be tempered with public health education for what constitutes emergencies and urgent medical conditions needing face-to-face attention. Measures to assuage fears among patients and their caregivers to ensure their safety in the hospital or health care setting need to be communicated and executed effectively. Epidermolysis bullosa is an inherited mechanobullous disorder that is usually stable, but in some patients with underlying comorbidities, close monitoring or face-to-face management is required . We present our experience and provide recommendations pertinent to epidermolysis bullosa patients of all subtypes during the coronavirus crisis.
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Affiliation(s)
- Mae Ramirez-Quizon
- Department of Dermatology, University of the Philippines Manila-Philippine General Hospital, Manila, Philippines; Department of Dermatology, Rizal Medical Center, Pasig, Philippines; Department of Dermatology, St. Luke's Medical Center Global City, Taguig, Philippines
| | - Dédée F Murrell
- The George Institute for Global Health, Sydney, Australia; University of New South Wales, Sydney, Australia.
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Murrell DF, Lucky AW, Salas-Alanis JC, Woodley DT, Palisson F, Natsuga K, Nikolic M, Ramirez-Quizon M, Paller AS, Lara-Corrales I, Barzegar MA, Sprecher E, Has C, Laimer M, Bruckner AL, Bilgic A, Nanda A, Purvis D, Hovnanian A, Murat-Sušić S, Bauer J, Kern JS, Bodemer C, Martin LK, Mellerio J, Kowaleski C, Robertson SJ, Bruckner-Tuderman L, Pope E, Marinkovich MP, Tang JY, Su J, Uitto J, Eichenfield LF, Teng J, Aan Koh MJ, Lee SE, Khuu P, Rishel HI, Sommerlund M, Wiss K, Hsu CK, Chiu TW, Martinez AE. Multidisciplinary care of epidermolysis bullosa during the COVID-19 pandemic-Consensus: Recommendations by an international panel of experts. J Am Acad Dermatol 2020; 83:1222-1224. [PMID: 32682031 PMCID: PMC7363613 DOI: 10.1016/j.jaad.2020.06.1023] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2020] [Revised: 06/27/2020] [Accepted: 06/29/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Dedee F Murrell
- Department of Dermatology, St George Hospital, University of New South Wales, Sydney, New South Wales, Australia.
| | - Anne W Lucky
- Cincinnati Children's Epidermolysis Bullosa Center, Cincinnati Children's Hospital, Cincinnati, Ohio
| | - Julio C Salas-Alanis
- DebRA (Dystrophic Epidermolysis Bullosa Research Association) Mexico, Monterrey, Mexico
| | - David T Woodley
- Department of Dermatology, University of Southern California, Los Angeles, California
| | - Francis Palisson
- Dystrophic Epidermolysis Bullosa Research Association DebRA (Dystrophic Epidermolysis Bullosa Research Association) Chile; Clinica Alemana, Universidad del Desarrollo, Santiago, Chile
| | - Ken Natsuga
- Department of Dermatology, Hokkaido University Graduate School of Medicine, Sapporo, Japan
| | - Milos Nikolic
- Deptartment of Dermatovenereology, University of Belgrade School of Medicine, Belgrade, Serbia
| | - Mae Ramirez-Quizon
- Department of Dermatology, University of the Philippines, Philippines General Hospital, Manila, Philippines
| | - Amy S Paller
- Departments of Dermatology and Pediatrics, Children's Hospital, Northwestern University, Chicago, Illinois
| | - Irene Lara-Corrales
- Section of Dermatology, Hospital for Sick Children, Toronto, Ontario, Canada
| | | | - Eli Sprecher
- Department of Dermatology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Cristina Has
- Department of Dermatology, Medical Center-University of Freiburg, Freiburg, Germany
| | - Martin Laimer
- EB Haus, Department of Dermatology, Paracelsus University, Salzburg, Austria
| | - Anna L Bruckner
- Pediatric Dermatology Department, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, Colorado
| | - Asli Bilgic
- Department of Dermatology, Akdeniz University, Antalya, Turkey
| | - Arti Nanda
- Pediatric Dermatology Unit, As'ad Al-Hamad Dermatology Center, Kuwait
| | - Diana Purvis
- Department of Dermatology, Starship Children's Health, Auckland, New Zealand
| | - Alain Hovnanian
- Department of Genetics, Institut National de la Santé et de la Recherche Médicale Unité Mixte de Recherche 1163, Laboratory of Genetic Skin Diseases, Paris, France; Institut des Maladies Génétiques (IMAGINE), University of Paris, Paris, France
| | | | - Johannes Bauer
- EB Haus, Department of Dermatology, Paracelsus University, Salzburg, Austria
| | - Johannes S Kern
- Dermatology Department, The Royal Melbourne Hospital, Melbourne, Victoria, Australia; The University of Melbourne, Parkville, Victoria, Australia
| | - Christine Bodemer
- Department of Dermatology, Necker Enfants Malades Hospital, University of Paris, Paris, France; Reference Centre for Genodermatoses and Rare Skin Diseases (MAGEC), Paris, France
| | - Linda K Martin
- Department of Dermatology, Sydney Children's Hospital, University of New South Wales Faculty of Medicine, Sydney, New South Wales, Australia
| | - Jemima Mellerio
- Adult Epidermolysis Bullosa Service, St John's Institute of Dermatology, St Thomas' Hospital, London, United Kingdom
| | - Cezary Kowaleski
- Department of Dermatology and Immunodermatology, University of Warsaw, Warsaw, Poland
| | - Susan J Robertson
- Dermatology Department, The Royal Melbourne Hospital, Melbourne, Victoria, Australia; Department of Dermatology, The Royal Children's Hospital, Melbourne, Victoria, Australia
| | | | - Elena Pope
- Section of Dermatology, Hospital for Sick Children, Toronto, Ontario, Canada
| | - M Peter Marinkovich
- Department of Dermatology, Stanford University Medical Center, Palo Alto, California
| | - Jean Y Tang
- Department of Dermatology, Stanford University Medical Center, Palo Alto, California
| | - John Su
- The University of Melbourne, Parkville, Victoria, Australia; Monash University, Eastern Health, Melbourne, Victoria, Australia
| | - Jouni Uitto
- Department of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, Pennsylvania; Sidney Kimmel Medical College, Philadelphia, Pennsylvania
| | - Lawrence F Eichenfield
- Departments of Dermatology and Pediatrics, University of California, San Diego, California; Department of Pediatric Dermatology, Rady Children's Hospital, San Diego, California
| | - Joyce Teng
- Department of Dermatology, Stanford University Medical Center, Palo Alto, California
| | | | - Sang Eun Lee
- Department of Dermatology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
| | - Phuong Khuu
- Department of Dermatology, Stanford University Medical Center, Palo Alto, California
| | - Heather I Rishel
- Rishel Pediatric Dermatology, PC, Rishel Enterprises, LLC, San Francisco, California
| | - Mette Sommerlund
- Department of Dermatology, Aarhus University Hospital, Aarhus, Denmark
| | - Karen Wiss
- Department of Dermatology, University of Massachusetts Medical School, Worcester, Massachusetts
| | - Chao-Kai Hsu
- Department of Dermatology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Tor Wo Chiu
- Chinese University of Hong Kong, Hong Kong, China
| | - Anna E Martinez
- Paediatric Dermatology Department, Great Ormond Street National Health Service Foundation Trust, London, United Kingdom
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