DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20212546

Cutaneous manifestations of chronic alcoholism in cases attending rural tertiary care center: a descriptive cross-sectional study

P. Vidya Sagar, C. Vijay Bhasker Reddy, Pisati Navaneetha Reddy

Abstract


Background: Alcoholism is a potentially fatal condition damages skin directly or through organ dysfunction. Studies suggested that dermatological manifestations have also been found to be a marker of alcohol misuse. The aim of the study was to assess the various cutaneous manifestations of alcohol dependence.

Methods: This study consisted of 205 cases diagnosed with alcohol dependency attending dermatology department and psychiatry wards, above 18 years of age. A detailed clinical examination and dermatological examination including hair, nails, oral and genital mucosa was performed. Alcoholic liver disease was diagnosed on clinical findings, abdominal sonogram and LFT.

Results: Among the study cases 50.25% cases had alcoholic liver disease. The severity of alcohol dependence score ranged from 1-60 with Ameena score of 24.68. It was seen that 45.23% (90) of alcoholics were mildly dependent, 41.7% (83) of alcoholics were moderately dependent, and 13.07% (26) were severely dependent on alcohol. Seborrheic dermatitis, urticaria, hyperhidrosis was among the commonly encountered dermatoses.

Conclusions: Cutaneous manifestations are a significant pointer to underlying, perhaps undetected problem of alcohol dependency and an awareness of these signs is imperative to alter a dermatologist to problems of alcohol abuse even in a busy clinic.


Keywords


Alcoholism, Cutaneous manifestations, Frequency

Full Text:

PDF

References


Sengotuven KL, Murugaiyan R, Kaliaperumal K. Cutaneous manifestations of chronic alcoholism: a cross sectional study in a tertiary care centre in South India. Int J Res Dermatol. 2016;2:55-63.

Higgins EM, Vivier AWP. Cutaneous disease and alcohol misuse. Br Med Bull. 1994;50:85-97.

Desai NG, Gupta DK, Khurshid KA. Textbook of postgraduate psychiatry. 2nd ed. New Delhi: JP Publishers; 2003.

Kostovic K, Lipozencic J. Skin diseases in alcoholics. Acta Dermatovenerol Croat. 2004;12(3):181-90.

Sharma YK, Shukla P, Nayak R, Kothari P, Gupta A. Association of dermatoses with duration and quantum of alcohol intake: A comparative cross-sectional study. Indian J Dermatol. 2017;62:184-90.

Rao GS. Cutaneous changes in chronic alcoholics. Indian J Dermatol Venereol Leprol. 2004;70(2):79-81.

Parish LC, Fine E. Alcoholism and skin disease. Int J Dermatol. 1985;24:300-1.

Tarazooie B, Kordbacheh P, Zaini F, Zomorodian K, Saadat F, Zeraati H, et al. Study of the distribution of Malassezia species in patients with pityriasis versicolor and healthy individuals in Tehran, Iran. BMC Dermatol. 2004;4:5.

Smith KE, Neil A. Cutaneous manifestations of alcohol abuse. J Am Acad Dermatol. 2000;43:1-16.

Dell ML. Skin and wound infections: an overview. Am Fam Physician. 1998;57(10):2424-32.

Kumar B, Sharma VK, Malhotra S, Bakaya V. Pattern of Sexually Transmitted Diseases in Chandigarh. Indian J Dermatol Venereol Leprol. 1987;53(5):286-91.

Rosset M, Oki G. Skin diseases in alcoholics. Q J Stud Alcohol. 1971;32(4):1017-24.