Morningside-based dermatologist Dr Lushen Pillay says that Covid-19 and the stress associated with this pandemic has changed the face of many dermatological conditions.
“We are seeing this condition affecting skin directly and indirectly. First, Covid-19 itself has seen an increase in vasculitic [rash] lesions, perniosis or chilblains, urticarias [hives] and so forth,” said Pillay.
He explained that indirectly, the use of face masks has increased acne and rosacea lesions on the face as well as perioral dermatitis.
“Due to the ongoing stress and increase in cortisol levels, we have seen an increase in skin infections and psoriasis flare-ups… We see, during stressful times, people tend to consume more alcohol and smoking which, in turn, leads to worsening of their skin conditions.”
He further emphasised that the stress hormone, cortisol, leads to an overproduction of oil in your skin glands, which causes acne breakouts. Stress also impacts your immune system, causing skin to be more reactive and sensitive and triggering rashes, hives and redness.
Stress also exacerbates existing skin conditions including eczema, psoriasis and rosacea, leading to flare-ups. In addition, stress can cause you to feel nervous or anxious, causing you to pick at scabs or acne or scratch at your skin until it becomes red or breaks.
Dr Pillay has suggested a number of at-home steps that can be taken to ease the effects of stress on your skin:
- Maintain a good skincare routine every day. Make sure to take off makeup and wash your face before bed.
- Exercise regularly. Exercise releases feel-good hormones that will improve your energy, mood and outlook.
- Eat a balanced diet with whole foods and plenty of fresh fruit and vegetables.
- Get enough sleep.
- Take time for yourself. Find time to engage in a relaxing, re-energising activity that makes you happy, e.g. read a book, take a warm bath, listen to music, meditate.
- Talk to someone if stress is having a negative impact on your health and well-being. Confide in a trusted friend, family member, therapist or spiritual counsellor.
“Even just knowing you have someone by your side can help you feel stronger in your capability to handle stress.”
Pillay advises community members to use gentle products on their skin. “Avoid using chemicals or compounds that use abrasive ingredients.
“Try to use hand sanitiser containing alcohol less, and rather wash your hands more regularly. Use a good hand moisturiser after every wash.”
“Make use of your local doctor or dermatologist to assist to treat skin conditions timeously. Don’t wait, as the longer skin rashes affect you, the more likely to become chronic and infected.”
He encourages residents to reflect on the important things in life like family and friends and celebrating life.
“These are tough times but we will get through them.”
