Bassiouny Dalia, Hegazy Rehab, Esmat Samia, Gawdat Heba I, Ahmed Ezzat Marwa, Tawfik Hebat-Allah, Hegazy Amira Aly, Ibrahim Sarah
Department of Dermatology, Faculty of Medicine, Cairo University, Cairo, Egypt.
El Haud El Marsoud Hospital, Cairo, Egypt.
J Cosmet Dermatol. 2021 Jan;20(1):159-165. doi: 10.1111/jocd.13459. Epub 2020 May 13.
Vitiligo is a pigmentary disorder associated with considerable psychological imbalance. Partial response to therapy and long duration for repigmentation are common. Meanwhile, camouflage may help through concealing vitiligo lesions and improving patient confidence and self-esteem.
To assess the Dermatology Life Quality Index (DLQI) in vitiligo patients, and to determine the patients' acceptance and willingness to utilize camouflage regularly and the impact of using camouflage as an adjuvant modality.
PATIENTS/METHODS: The study was carried out on 100 vitiligo patients who underwent thorough history taking, clinical examination, and DLQI assessment. Forty patients were randomly chosen, taught how to apply camouflage, and followed up over 1 month of regular application.
Dermatology Life Quality Index in the 100 vitiligo patients was found to be 12.2 ± 3.9, denoting the very large effect on quality of life vitiligo has. It was significantly worse in female patients, adolescents, students, and high-socioeconomic level patients, in visible sites and genitalia, and in unstable cases. There was a significant positive correlation between the DLQI and disease duration (r = 0.75, P < .001) and VES (r = 0.79, P < .001). The 40 cases on camouflage showed a significant percent reduction in their DLQI when compared to noncamouflage users (P: .00).
Dermatology Life Quality Index is significantly affected by vitiligo. Camouflaging is a technique that needs to be taught to the patient to overcome the anticipated problems that drive them away from using it; especially, it significantly improves their DLQI in their devastating disease.
白癜风是一种与严重心理失衡相关的色素沉着紊乱疾病。治疗反应不完全以及色素恢复时间长很常见。同时，伪装疗法可能有助于遮盖白癜风皮损，提高患者的信心和自尊。
评估白癜风患者的皮肤病生活质量指数（DLQI），确定患者对定期使用伪装疗法的接受程度和意愿，以及使用伪装疗法作为辅助治疗方式的影响。
患者/方法：对100例白癜风患者进行了全面的病史采集、临床检查和DLQI评估。随机选择40例患者，教授其如何应用伪装疗法，并在1个月的定期应用期间进行随访。
100例白癜风患者的皮肤病生活质量指数为12.2±3.9，表明白癜风对生活质量有很大影响。在女性患者、青少年、学生、高社会经济水平患者、可见部位和生殖器部位以及不稳定型病例中，该指数明显更差。DLQI与病程（r = 0.75，P <.001）和白癜风面积评分指数（VES）（r = 0.79，P <.001）之间存在显著正相关。与未使用伪装疗法的患者相比，40例使用伪装疗法的患者DLQI显著降低（P =.00）。
白癜风对皮肤病生活质量指数有显著影响。伪装疗法是一种需要教授给患者的技术，以克服那些使他们不愿使用该疗法的预期问题；特别是，它能显著改善他们在这种破坏性疾病中的DLQI。
