{"id":16334,"date":"2020-05-15T06:10:41","date_gmt":"2020-05-15T05:10:41","guid":{"rendered":"https:\/\/www.myhealthspecialist.com\/blog\/?p=16334"},"modified":"2021-04-21T13:36:27","modified_gmt":"2021-04-21T12:36:27","slug":"effects-of-personal-protective-equipment-ppe-in-particular-face-masks","status":"publish","type":"post","link":"https:\/\/www.myhealthspecialist.com\/blog\/2020\/05\/15\/effects-of-personal-protective-equipment-ppe-in-particular-face-masks\/","title":{"rendered":"Effects of personal protective equipment (PPE), in particular face masks"},"content":{"rendered":"\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"600\" height=\"386\" src=\"https:\/\/www.myhealthspecialist.com\/blog\/wp-content\/uploads\/2020\/05\/Anjali_PPE_resize_compressed.png\" alt=\"\" class=\"wp-image-16335\" srcset=\"https:\/\/www.myhealthspecialist.com\/blog\/wp-content\/uploads\/2020\/05\/Anjali_PPE_resize_compressed.png 600w, https:\/\/www.myhealthspecialist.com\/blog\/wp-content\/uploads\/2020\/05\/Anjali_PPE_resize_compressed-300x193.png 300w, https:\/\/www.myhealthspecialist.com\/blog\/wp-content\/uploads\/2020\/05\/Anjali_PPE_resize_compressed-360x232.png 360w, https:\/\/www.myhealthspecialist.com\/blog\/wp-content\/uploads\/2020\/05\/Anjali_PPE_resize_compressed-200x129.png 200w, https:\/\/www.myhealthspecialist.com\/blog\/wp-content\/uploads\/2020\/05\/Anjali_PPE_resize_compressed-100x64.png 100w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/figure>\n\n\n\n<p>This post is for the healthcare professionals currently struggling with the effects of personal protective equipment (PPE), in particular face masks. I have had a large number of requests for skincare tips from the front-line and am keen to help where I can. I will caveat that there is limited published scientific data on the dermatological issues many are experiencing, and much of the information we have comes from the SARS outbreak in 2003 and PPE use at the time, in particular N95 masks (the closest British equivalent in terms of filtering airborne particles to this is the FFP-2 mask).<\/p>\n\n\n\n<p><strong>Prolonged contact to PPE and mask wearing can lead to a number of recognised skin problems including:<\/strong><\/p>\n\n\n\n<ol><li> Pressure injury<\/li><li> Contact dermatitis or eczema<\/li><li> Itch<\/li><li> Pressure urticaria (or \u2018hives\u2019)<\/li><li> Exacerbation of acne<\/li><\/ol>\n\n\n\n<p>These issues occur for a variety of reasons. Acne can be driven by the hot, humid microclimate created in facial areas covered by the mask alongside occlusion of the pilosebaceous (oil producing) ducts due to local pressure on the skin. At the other extreme, itch and rash are possible due to irritant eczema from mask components. There have also been reported cases of allergy to mask adhesives or components such as rubber straps. In these circumstances the skin will appear red, inflamed, scaly and flaky. Lastly, direct pressure-related effects are also common, resulting in redness (often across the nasal bridge) and skin maceration.<\/p>\n\n\n\n<p><strong>So what can you do?<\/strong><\/p>\n\n\n\n<p>Well, this partly depends on the symptoms you are facing. In general terms, ensuring the skin is cleansed thoroughly and well-moisturised may help relieve some of the symptoms of discomfort such as burning or stinging. Aim to cleanse and moisturise at least twice daily (morning and evening).<\/p>\n\n\n\n<p><strong><em>For acne flare-ups:<\/em><\/strong><\/p>\n\n\n\n<ul><li>Use\na facewash with salicylic acid (eg La Roche Posay Effaclar foaming wash, Medik8\nclarifying foam)<\/li><li>Use\ntargeted spot treatment (eg, Murad blemish control) OR a salicylic acid toner\nafter cleansing (eg Paula\u2019s choice 2% liquid exfoliant)<\/li><li>Apply\na fragrance-free, non-comedogenic moisturiser <\/li><li>If\nthere is no improvement with the above seek medical attention for prescription\nagents, eg topicals such as Epiduo (retinoid and benzoyl peroxide) or adapalene<\/li><\/ul>\n\n\n\n<p><strong><em>For itching or eczema type rash:<\/em><\/strong><\/p>\n\n\n\n<ul><li>Use\nunscented facial cleansers designed for sensitive skin (eg La Roche Posay\nToleriane dermatocleanser or Cerave hydrating cleanser)<\/li><li>Make\nuse of barrier creams (eg Aquaphor healing ointment or vaseline) overnight on\nany broken or macerated areas of skin as an occlusive<\/li><li>Use\nfragrance-free moisturisers (eg Cetaphil hydrating moisturiser or Avene skin\nrecovery cream) on the rest of the skin twice daily to prevent water loss and\nimprove the barrier function of the skin<\/li><li>Purchase\nsome OTC eumovate cream 0.05% (mild steroid) and apply to itchy, inflamed skin\ntwice daily for 7 days<\/li><li>If\nno improvement then seek medical attention as you may require prescription\nagents<\/li><li>Avoid\nharsh scrubs or chemical exfoliators if the skin is red or sensitive as this\nmay worsen eczema. Take a break from these and retinols which may otherwise\nform part of your regular skincare routine whilst there is a facial rash\npresent.<\/li><\/ul>\n\n\n\n<p><strong>Other general tips:<\/strong><\/p>\n\n\n\n<ol><li>Do not use a barrier cream immediately prior to fitting your PPE as it may affect the quality of the seal. We need more data and guidelines on this.<\/li><li>Avoid wearing heavy make-up, especially foundation, underneath the mask as it may lead to spots<\/li><li>If you are using water with a foaming gel cleanser then check the water temperature is luke-warm; hot water may irritate the skin further<\/li><li>Pat your skin dry after washing rather than rubbing it with a towel<\/li><li>Where possible, remove pressure from the mask every 1-2 hours<\/li><li>Take regular daily non-sedating antihistamines if you are getting \u2018hives\u2019<\/li><\/ol>\n\n\n\n<p><strong>Note<\/strong> &#8211; There is no conflict of interest in product recommendations. This is all non-sponsored. For further reading I shall leave some references that have formed the basis of this post. Skin issues are likely under-reported in the scientific literature as masks are essential in certain situations and there is no choice but to wear them; many therefore do not seek medical attention and the numbers are often not recorded accurately. Lastly, this is a stock photo &#8211; I am fully aware that the picture is not of an N95 mask!! To every healthcare professional dealing with coronavirus at present, take care and stay safe.<\/p>\n\n\n\n<h6 class=\"p1\"><span style=\"color: #808080;\"><span class=\"s1\">This article is for information only and should not be used for the diagnosis or treatment of medical conditions. myHealthSpecialist makes no representations as t<\/span><span class=\"s2\">o the accuracy or completeness of any of the information in this article or found by following any&nbsp;link from this article<\/span><span class=\"s1\">. Please consult a doctor or other healthcare professional for medical advice.<\/span><\/span><\/h6>\n\n\n\n<hr>\n<p><img loading=\"lazy\" class=\"alignnone wp-image-16336 size-full\" src=\"https:\/\/www.myhealthspecialist.com\/blog\/wp-content\/uploads\/2020\/05\/anjali-mahto-circ.jpg\" alt=\"\" width=\"190\" height=\"190\"><\/p>\n<p>Dr Anjali Mahto, Consultant Dermatologist<br><a href=\"https:\/\/www.myhealthspecialist.com\/specialists\/anjali-mahto\" target=\"_blank\" rel=\"noopener noreferrer\">Book an appointment with Dr Anjali Mahto<\/a><br><br><\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>This post is for the healthcare professionals currently struggling with the effects of personal protective equipment (PPE), in particular face masks. I have had a large number of requests for skincare tips from the front-line and am keen to help where I can. I will caveat that there is limited published scientific data on the&hellip; <a class=\"continue\" href=\"https:\/\/www.myhealthspecialist.com\/blog\/2020\/05\/15\/effects-of-personal-protective-equipment-ppe-in-particular-face-masks\/\">Continue Reading Effects of personal protective equipment (PPE), in particular face masks<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v18.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Effects of personal protective equipment (PPE), in particular face masks<\/title>\n<meta name=\"description\" content=\"Effects of personal protective equipment (PPE), in particular face masks\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.myhealthspecialist.com\/blog\/2020\/05\/15\/effects-of-personal-protective-equipment-ppe-in-particular-face-masks\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Effects of personal protective equipment (PPE), in particular face masks\" \/>\n<meta property=\"og:description\" content=\"Effects of personal protective equipment (PPE), in particular face masks\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.myhealthspecialist.com\/blog\/2020\/05\/15\/effects-of-personal-protective-equipment-ppe-in-particular-face-masks\/\" \/>\n<meta property=\"og:site_name\" content=\"myHealth bytes\" \/>\n<meta property=\"article:published_time\" content=\"2020-05-15T05:10:41+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-04-21T12:36:27+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.myhealthspecialist.com\/blog\/wp-content\/uploads\/2020\/05\/Anjali_PPE_resize_compressed.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dr Anjali Mahto - 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