Rastogi Madhur K, Mohan Rikta, Gahalaut Pratik, Mishra Nitin, Thapa Manisha
Department of Dermatology, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh, India.
Indian J Dermatol. 2019 Nov-Dec;64(6):465-470. doi: 10.4103/ijd.IJD_176_18.
The rampant, disturbing, and dismal unrestricted use of topical corticosteroids on face results in steroid-induced dermatitis termed topical steroid-dependent face (TSDF). It is an embarrassing and irritating condition for a patient. There is paucity of data from India regarding the effect of TSDF on the quality of life (QoL) of such patients.
The aim of this study was to study the effect of TSDF on the QoL of patients with the help of a validated, easy-to-use, and reproducible dermatology life quality index (DLQI).
A cross-sectional study was done among the outpatients seeking treatment for TSDF at a tertiary care hospital of a medical college. Patients were administered Hindi questionnaire version of DLQI. Controls were apparently healthy age- and sex-matched individuals.
DLQI scores revealed that TSDF had some effect on QoL in 98.11% of study patients. Study group had a mean DLQI score of 11.49. Statistically significant higher DLQI scores were recorded among females, patients aged <20 years and those who had no formal education/illiterate.
TSDF affects QoL in majority of patients and it has a very large effect on the QoL in more than one-third of the patients.
面部局部皮质类固醇激素的肆意、令人不安且糟糕的无节制使用导致了类固醇诱导性皮炎，即局部类固醇依赖性面部皮炎（TSDF）。这对患者来说是一种尴尬且恼人的病症。在印度，关于TSDF对这类患者生活质量（QoL）影响的数据匮乏。
本研究的目的是借助经过验证、易于使用且可重复的皮肤病生活质量指数（DLQI）来研究TSDF对患者生活质量的影响。
在一所医学院的三级护理医院中，对寻求TSDF治疗的门诊患者进行了一项横断面研究。向患者发放印地语版的DLQI问卷。对照组为明显健康的年龄和性别匹配个体。
DLQI评分显示，98.11%的研究患者中TSDF对生活质量有一定影响。研究组的平均DLQI评分为11.49。在女性、年龄<20岁的患者以及未接受正规教育/文盲患者中，DLQI评分在统计学上显著更高。
TSDF影响大多数患者的生活质量，并且对超过三分之一的患者的生活质量有非常大的影响。
