Singhal Rochit, Diwan Nilofar G, Nair Pragya A
Department of Dermatology, Venereology and Leprosy, Pramukh Swami Medical College, Karamsad, Gujarat, India.
Indian Dermatol Online J. 2018 Sep-Oct;9(5):309-313. doi: 10.4103/idoj.IDOJ_347_17.
Palmoplantar dermatoses are commonly found in dermatological practice. Quality of life (QOL) is severely impaired if these areas are affected. Early and appropriate management of palmoplantar dermatoses help in improving patient's QOL.
To assess the impact of palmoplantar dermatoses on QOL.
Patients with palmoplantar dermatoses with or without other body part involvement were enrolled in the study. QOL was assessed by Dermatology Life Quality Index (DLQI) questionnaire for >16 years of age and by Children's Dermatology Life Quality Index (CDLQI) questionnaire for 5-16 years of age.
Two hundred and two patients participated, of which 108 (53.46%) were males and 94 (46.53%) were females. The commonest age group affected was 17-40 years (42.57%). Housewives 61 (30.2%) and laborers 53 (26.2%) were most common occupational group affected. The mean DLQI and CDLQI scores were 7.68 and 7.46, respectively. Fifty-seven (28.21%) patients had palmoplantar psoriasis (PPP), 35 (17.32%) had palmoplantar keratoderma (PPK), and 26 (12.87%) had hand eczema (HE) with mean DLQI scores 8.60, 8.53, 8.60, and CDLQI scores 8.40, 8.28, and 8.26, respectively. In both DLQI and CDLQI, questions on symptoms and feelings scored maximum. Gender, age, occupation, duration, progress, and type of dermatosis did not show statistically significant association with DLQI. However, chronic recalcitrant dermatoses such as PPP, PPK, and HE showed significant impairment in QOL in relation to occupation and duration of disease.
Severity of various palmoplantar dermatoses was not graded and therefore relation between severity of various dermatoses and QOL was not established.
Majority of patients with palmoplantar dermatoses especially those having chronic course had significant impairment in their QOL.
掌跖部皮肤病在皮肤科临床实践中较为常见。如果这些部位受到影响，患者的生活质量（QOL）会受到严重损害。掌跖部皮肤病的早期和恰当治疗有助于改善患者的生活质量。
评估掌跖部皮肤病对生活质量的影响。
纳入有或无其他身体部位受累的掌跖部皮肤病患者。16岁及以上患者通过皮肤病生活质量指数（DLQI）问卷评估生活质量，5至16岁患者通过儿童皮肤病生活质量指数（CDLQI）问卷评估。
202例患者参与研究，其中男性108例（53.46%），女性94例（46.53%）。受影响最常见的年龄组为17至40岁（42.57%）。家庭主妇61例（30.2%）和劳动者53例（26.2%）是受影响最常见的职业群体。DLQI和CDLQI的平均得分分别为7.68和7.46。57例（28.21%）患者患有掌跖部银屑病（PPP），35例（17.32%）患有掌跖部角化病（PPK），26例（12.87%）患有手部湿疹（HE），其DLQI平均得分分别为8.60、8.53、8.60，CDLQI平均得分分别为8.40、8.28、8.26。在DLQI和CDLQI中，关于症状和感受的问题得分最高。性别、年龄、职业、病程、病情进展和皮肤病类型与DLQI无统计学显著关联。然而，PPP、PPK和HE等慢性难治性皮肤病在生活质量方面与职业和病程存在显著损害。
未对各种掌跖部皮肤病的严重程度进行分级，因此未确定各种皮肤病严重程度与生活质量之间的关系。
大多数掌跖部皮肤病患者，尤其是病程较长者，生活质量受到显著损害。
