Department of Dermatology and Venereology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Department of Psychiatry, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Skinmed. 2021 Apr 1;19(2):120-127. eCollection 2021.
Inflammatory cutaneous diseases, such as psoriasis, are associated with considerable psychosocial impact and alcohol consumption; however, this association with other skin diseases, such as dermatitis (eczema), is less explored. We examined patients with psoriasis and dermatitis for excessive alcohol consumption using the Alcohol Use Disorders Identification Test (AUDIT). For this cross-sectional, observational study, 385 patients of both genders, aged ≥18 years, who were diagnosed with either psoriasis or dermatitis, were recruited. The primary outcome measure was the AUDIT score. The prevalence of alcohol use disorder (AUD) was 28% in patients with psoriasis and 23% in patients with dermatitis. Men in both groups had statistically significant more hazardous drinking pattern (AUDIT score ≥ 8) when compared with women. The prevalence of the dermatology life quality index (DLQI) ≥ 11 was 57% in psoriasis patients and 51% in dermatitis patients. Accordingly, alcohol consumption behavior in eczema patients was comparable to those with psoriasis. Based upon the research, it is recommended that patients with inflammatory skin diseases must be asked and screened for their alcohol consumption in order to choose appropriate systemic treatment options.
炎性皮肤疾病，如银屑病，与相当大的心理社会影响和酒精消费有关；然而，这种与其他皮肤疾病（如皮炎）的关联则探讨较少。我们使用酒精使用障碍识别测试（AUDIT）检查了银屑病和皮炎患者的过度饮酒情况。在这项横断面观察性研究中，招募了 385 名年龄≥18 岁的男女银屑病或皮炎患者。主要观察指标是 AUDIT 评分。银屑病患者的酒精使用障碍（AUD）患病率为 28%，皮炎患者为 23%。与女性相比，两组中的男性均有显著更多的危险饮酒模式（AUDIT 评分≥8）。银屑病患者的皮肤病生活质量指数（DLQI）≥11 的患病率为 57%，皮炎患者为 51%。因此，湿疹患者的饮酒行为与银屑病患者相当。基于这项研究，建议必须询问和筛查炎性皮肤疾病患者的饮酒情况，以便选择适当的全身治疗方案。
