The burden of vitiligo: Patient characteristics associated with quality of life

The burden of vitiligo: Patient characteristics associated with quality of life
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DOI:
10.1016/j.jaad.2009.03.022
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发表时间:
2009-09-01
影响因子:
13.8
通讯作者:
van der Veen, J. P. Wietze
van der Veen, J. P. Wietze
中科院分区:
医学1区
文献类型:
--
作者:
Homan, May W. Linthorst;Spuls, Phyllis I.;van der Veen, J. P. Wietze

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背景;在西方社会,白癜风通常被认为是一种无害的美容皮肤问题,治疗白癜风患者的重要性常常被低估。 目的:我们试图确定对成人全身性白癜风患者的生活质量产生不利影响的临床和社会人口统计学变量,以便在治疗和护理中考虑这些变量。 方法:总共:245 名成年全身性白癜风患者完成了两份生活质量调查问卷(医学结果研究) 36 项简短的一般健康调查和 Skindex-29)。医生评估了这些患者的社会人口统计学和临床​​特征。结果:深色皮肤类型、位于胸部的白癜风以及过去的治疗似乎对生活质量的心理社会领域产生了不利影响。此外,本研究中 20% 的患者报告有瘙痒症状。局限性:分析中未评估精神科合并症。结论:全身性白癜风是一种严重的皮肤病,与其他主要皮肤病相比,会对情绪状态产生不利影响。 (J Am Acad Dermatol 2009;61:411-20。)
Background; Vitiligo is commonly regarded as a harmless cosmetic skin problem in western societies, and the importance of treating patients with vitiligo is often underestimated.Objective: We sought to determine the clinical and sociodemographic variables that adversely affect the quality of life in adult patients with generalized vitiligo so that these variables can be considered in the treatment and care.Methods: A total of: 245 adult patients with generalized vitiligo completed two quality-of-life questionnaires (the Medical Outcomes Study 36-Item Short-form General Health Survey and the Skindex-29). Physicians assessed sociodemographic and clinical characteristics of these patients.Results: Dark skin type, vitiligo located on the chest, and treatment in the past appeared to have ail adverse impact on the psychosocial domains of quality of life. Moreover, itch was reported by 20% of the Patients ill this Study.Limitations: Psychiatric comorbidity Was not evaluated in the analyses.Conclusion: Generalized vitiligo is a Serious skin disorder with in adverse impact oil the emotional state, comparable with that of other major skin diseases. (J Am Acad Dermatol 2009;61:411-20.)