COVID-19 vaccination in India: Clinical guidance for patients with dermatological diseases

Since the advent of COVID-19 vaccines, dermatologists have frequently come across patients, especially those receiving immunomodulatory drugs, who express concerns about the safety and efficacy of vaccines. In this review, we aim to provide guidelines to dermatologists with regard to the three COVID...

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Main Authors: Namitha Chathra, Savitha Somaiah
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Clinical Dermatology Review
Subjects:
Online Access:http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2021;volume=5;issue=2;spage=139;epage=143;aulast=Chathra
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author Namitha Chathra
Savitha Somaiah
author_facet Namitha Chathra
Savitha Somaiah
author_sort Namitha Chathra
collection DOAJ
description Since the advent of COVID-19 vaccines, dermatologists have frequently come across patients, especially those receiving immunomodulatory drugs, who express concerns about the safety and efficacy of vaccines. In this review, we aim to provide guidelines to dermatologists with regard to the three COVID-19 vaccines licensed for use in India. All dermatology patients, even the ones on immunomodulatory drugs, need to be encouraged to take the vaccine. COVID-19 vaccines are not contraindicated in individuals afflicted with eczema; atopic dermatitis; psoriasis; vitiligo; lichen planus; urticaria; connective tissue disorders; and bacterial, mycobacterial, viral, or fungal infections. However, those who have been seriously ill requiring hospitalization are advised to wait for 4–8 weeks. For patients on immunomodulatory drugs, when the disease is stable, the drug may be withheld or dosage reduced for 1–2 weeks following vaccination. However, the vaccination may be given without any modification in the drug/biological. People with a history of anaphylaxis/urticaria can receive a COVID-19 vaccine with 30 min postvaccination observation period. Absolute contraindications include a history of immediate hypersensitivity to any component of the vaccination and hypersensitivity following first dose of vaccination. Patients who have received vaccination can undergo procedures such as skin biopsy, cautery, cryotherapy, lasers, chemical peels, excisions, biopsy, and hair transplantation; fillers may be scheduled 2 weeks before or after the vaccination.
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spelling doaj.art-b667bfd513ee473da37d7c009cb99c482022-12-21T21:55:18ZengWolters Kluwer Medknow PublicationsClinical Dermatology Review2542-551X2542-55282021-01-015213914310.4103/cdr.cdr_48_21COVID-19 vaccination in India: Clinical guidance for patients with dermatological diseasesNamitha ChathraSavitha SomaiahSince the advent of COVID-19 vaccines, dermatologists have frequently come across patients, especially those receiving immunomodulatory drugs, who express concerns about the safety and efficacy of vaccines. In this review, we aim to provide guidelines to dermatologists with regard to the three COVID-19 vaccines licensed for use in India. All dermatology patients, even the ones on immunomodulatory drugs, need to be encouraged to take the vaccine. COVID-19 vaccines are not contraindicated in individuals afflicted with eczema; atopic dermatitis; psoriasis; vitiligo; lichen planus; urticaria; connective tissue disorders; and bacterial, mycobacterial, viral, or fungal infections. However, those who have been seriously ill requiring hospitalization are advised to wait for 4–8 weeks. For patients on immunomodulatory drugs, when the disease is stable, the drug may be withheld or dosage reduced for 1–2 weeks following vaccination. However, the vaccination may be given without any modification in the drug/biological. People with a history of anaphylaxis/urticaria can receive a COVID-19 vaccine with 30 min postvaccination observation period. Absolute contraindications include a history of immediate hypersensitivity to any component of the vaccination and hypersensitivity following first dose of vaccination. Patients who have received vaccination can undergo procedures such as skin biopsy, cautery, cryotherapy, lasers, chemical peels, excisions, biopsy, and hair transplantation; fillers may be scheduled 2 weeks before or after the vaccination.http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2021;volume=5;issue=2;spage=139;epage=143;aulast=Chathracovid-19 vaccinationimmunomodulatory drugsskin diseases
spellingShingle Namitha Chathra
Savitha Somaiah
COVID-19 vaccination in India: Clinical guidance for patients with dermatological diseases
Clinical Dermatology Review
covid-19 vaccination
immunomodulatory drugs
skin diseases
title COVID-19 vaccination in India: Clinical guidance for patients with dermatological diseases
title_full COVID-19 vaccination in India: Clinical guidance for patients with dermatological diseases
title_fullStr COVID-19 vaccination in India: Clinical guidance for patients with dermatological diseases
title_full_unstemmed COVID-19 vaccination in India: Clinical guidance for patients with dermatological diseases
title_short COVID-19 vaccination in India: Clinical guidance for patients with dermatological diseases
title_sort covid 19 vaccination in india clinical guidance for patients with dermatological diseases
topic covid-19 vaccination
immunomodulatory drugs
skin diseases
url http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2021;volume=5;issue=2;spage=139;epage=143;aulast=Chathra
work_keys_str_mv AT namithachathra covid19vaccinationinindiaclinicalguidanceforpatientswithdermatologicaldiseases
AT savithasomaiah covid19vaccinationinindiaclinicalguidanceforpatientswithdermatologicaldiseases