Kota RahulKrishna S, Vora Rita V, Varma Jagdish R, Kota Suresh K, Patel Trusha M, Ganjiwale Jaishree
Department of Skin and VD, Sravani Poly Clinic, Guntur, Andhra Pradesh, India.
Department of Skin and VD, Shree Krishna Hospital, Karamsad, Anand, Gujarat, India.
Indian Dermatol Online J. 2019 Mar-Apr;10(2):153-157. doi: 10.4103/idoj.IDOJ_14_18.
Vitiligo is an autoimmune pigmentary disorder characterized by localized or generalized depigmentation of the skin. It is associated with significant stigma and has impact on patient's quality of life (QoL) and psychological wellbeing.
To see the variance in QoL and level of depression in vitiligo patients with extent of vitiligo.
Vitiligo patients aged ≥18 years attending OPD were included in the study. Impairment in QoL was assessed by administering DLQI (Dermatology Life Quality Index) and VIS22 (Vitiligo Impact Scale22). Depression was assessed by administering QIDSSR16 (Quick Inventory of Depressive Symptomatology). The Vitiligo Area Scoring Index (VASI) was calculated based on clinical examination.
One hundred and fifty patients enrolled. Most common age group was 18-30 years. Mean DLQI, VIS22, QIDSSR16 scores were 7.02, 16.37, 5.87, respectively. QoL was affected to some extent in 85.3% and 86.7% according to the DLQI and VIS22, respectively. Depression was seen in 44%.
Young patients showed higher impairment in QoL and also higher levels of depression. It would be useful to offer psychiatric consult and counseling in addition to specific treatment.
白癜风是一种自身免疫性色素沉着障碍，其特征为皮肤局部或全身色素脱失。它与严重的污名化相关，对患者的生活质量（QoL）和心理健康有影响。
观察白癜风患者生活质量和抑郁水平随白癜风程度的变化。
纳入年龄≥18岁在门诊就诊的白癜风患者。通过使用皮肤病生活质量指数（DLQI）和白癜风影响量表22（VIS22）评估生活质量受损情况。通过使用抑郁症状快速检查表（QIDSSR16）评估抑郁情况。根据临床检查计算白癜风面积评分指数（VASI）。
共纳入150例患者。最常见的年龄组为18 - 30岁。DLQI、VIS22、QIDSSR16的平均得分分别为7.02、16.37、5.87。根据DLQI和VIS22，分别有85.3%和86.7%的患者生活质量在一定程度上受到影响。44%的患者存在抑郁。
年轻患者生活质量受损程度更高，抑郁水平也更高。除了进行特定治疗外，提供精神科咨询和心理辅导会有所帮助。
