Boehncke Wolf-Henning, Ochsendorf Falk, Paeslack Ingrid, Kaufmann Roland, Zollner Thomas Matthias
Department of Dermatology, Johann Wolfgang Goethe-University, Theodor-Stern-Kai 7, D-60590, Frankfurt/Main, Germany.
Eur J Dermatol. 2002 Nov-Dec;12(6):577-80.
Dermatoses may have a significant impact on a patient's quality of life, namely the relationship to others, self-image and self-esteem. We therefore asked whether the application of decorative cosmetics might increase their quality of life. Twenty female patients (16-69 y) with skin diseases affecting the patients' face (acne, n = 8; rosacea, n = 9; chronic discoid lupus erythematodes, n = 2; vitiligo, n = 1) were investigated. The patients were instructed by a cosmetician how to use decorative cosmetics (Unifiance , La Roche-Posay, France) and applied it daily for 2 weeks. The dermatology quality of life questionnaire (DLQI) was performed before the first application and 2 weeks afterwards. The clinical course was documented by standardised photography. Unifiance was well tolerated and no side effects occurred. It completely masked the unwanted coloration and application resulted in a significant amelioration of the appearance. The mean DLQI score dropped significantly from 9.2 to 5.5 (p = 0.0009). Improvement of quality of life reached statistical significance among patients with acne (2.8 versus 7.8, p = 0.0078) and among individuals with a less severe initial impairment of quality of life (2.4 versus 4.2, p = 0.007). Thus, the use of decorative cosmetics in disfiguring skin diseases is an effective, well-tolerated measure increasing the patients' quality of life. We therefore suggest that decorative cosmetics can complement the treatment of disfiguring skin diseases.
皮肤病可能会对患者的生活质量产生重大影响，即与他人的关系、自我形象和自尊。因此，我们询问使用装饰性化妆品是否可以提高他们的生活质量。我们对20名患有面部皮肤病的女性患者（年龄16 - 69岁）进行了研究，其中痤疮患者8名、酒渣鼻患者9名、慢性盘状红斑狼疮患者2名、白癜风患者1名。由一名美容师指导患者如何使用装饰性化妆品（优妮芳丝，法国理肤泉），并让她们每天使用，持续2周。在首次使用前和2周后进行皮肤病生活质量问卷（DLQI）调查。通过标准化摄影记录临床病程。优妮芳丝耐受性良好，未出现副作用。它完全掩盖了不理想的肤色，使用后外观有显著改善。DLQI平均得分从9.2显著降至5.5（p = 0.0009）。痤疮患者（2.8对7.8，p = 0.0078）以及生活质量初始受损较轻的个体（2.4对4.2，p = 0.007）的生活质量改善达到统计学意义。因此，在毁容性皮肤病中使用装饰性化妆品是一种有效且耐受性良好的提高患者生活质量的措施。所以我们建议装饰性化妆品可以辅助治疗毁容性皮肤病。
