Department of Dermatology, Chung-Ang University College of Medicine, Seoul, Korea.
J Korean Med Sci. 2012 Nov;27(11):1327-32. doi: 10.3346/jkms.2012.27.11.1327. Epub 2012 Oct 30.
Quantification of quality of life (QOL) related to disease severity is important in patients with atopic dermatitis (AD), because the assessment provides additional information to the traditional objective clinical scoring systems. To document the impact of AD on QOL for both children and adults as well as to quantify the relationship with disease severity, QOL assessments were performed over a 6-month period on 415 patients with AD. A questionnaire derived from the Infants' Dermatitis Quality of Life Index (IDQOL), the Children's Dermatology Life Quality Index (CDLQI) and the Dermatology Life Quality Index (DLQI) was used to determine the QOL for 71 infants, 197 children and 147 adults, respectively. To measure AD severity, both the Rajka & Langeland scoring system and the Scoring of Atopic Dermatitis (SCORAD) index were used. The mean scores were as follows: 7.7 ± 5.5 for IDQOL, 6.6 ± 6.3 for CDLQI, and 10.7 ± 7.9 for DLQI. In conclusion, these QOL scores are correlated with AD severity scores as estimated by the Rajka & Langeland severity score and the SCORAD. The outcome of the QOL instruments in this study demonstrates that atopic dermatitis of both children and adults affects their QOL.
评估特应性皮炎(AD)患者的疾病严重程度相关的生活质量(QOL)非常重要,因为评估结果可为传统的客观临床评分系统提供补充信息。为了记录 AD 对儿童和成人 QOL 的影响并量化其与疾病严重程度的关系,对 415 例 AD 患者进行了为期 6 个月的 QOL 评估。采用源自婴儿特应性皮炎生活质量指数(IDQOL)、儿童皮肤病生活质量指数(CDLQI)和皮肤病生活质量指数(DLQI)的问卷,分别对 71 例婴儿、197 例儿童和 147 例成人进行了 QOL 测定。为了衡量 AD 的严重程度,同时使用了 Rajka & Langeland 评分系统和特应性皮炎评分(SCORAD)指数。平均评分如下:IDQOL 为 7.7 ± 5.5,CDLQI 为 6.6 ± 6.3,DLQI 为 10.7 ± 7.9。总之,这些 QOL 评分与 Rajka & Langeland 严重程度评分和 SCORAD 评估的 AD 严重程度评分相关。本研究中 QOL 工具的结果表明,儿童和成人的特应性皮炎均会影响其 QOL。