Dermatology life quality index in patients of acne vulgaris presenting to a tertiary care hospital: an observational study
Keywords:Acne vulgaris, Dermatology life quality index, Quality of life
Background: Acne vulgaris is a common, chronic disorder resulting from the inflammation of pilosebaceous unit, present with clinically various forms. It is usually prevalent in adolescent may persist in adulthood. This study was conducted to evaluate the quality of life (QoL) in patients suffering from acne vulgaris.
Methods: Hospital based cross sectional study was conducted in 60 patients. Dermatology life quality index (DLQI) questionnaire was used to observe the effect of acne among patients.
Results: Total numbers of patients enrolled were 60 (43 females,17 males). The mean age was 24.85±5.63 years. Maximum patients were of the age group 26-30 years (22 patients; 36%) and least were of 31-36 age group. Out of 60 patients, 29 patients had grade II acne followed by 20 with grade I acne, grade III acne was present in 11 patients. Most of the patients 31 (52%) were having “moderate impact” on quality of life followed by 23 (38%) with “small impact” on QOL. There was a significant positive correlation between grade of acne and DLQI (Pearson correlation=0.753, p=0.00).
Conclusions: Our study showed significant impairment of QoL in acne patients. DLQI increases with increase in severity of acne. Treatment of acne should not be guided only by the clinical grade of acne, but take into consideration the psychosocial impact the condition has on the patient. Adequate counselling along with early treatment of acne vulgaris is essential in order to reduce the disease related psychosocial sequelae and increase treatment efficacy.
Layton AM. Disorders of sebaceous glands. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. 8th edition, olume 42. Oxford. Wiley-Blackwell Publication. 2010;1-89.
Lello J, Pearl A, Arroll B, Yallop J, Birchall NM. Prevalence of acne vulgaris in Auckland senior high school students. N Z Med J. 1995;108:287-9.
Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. (December 2012). Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2010;380(9859):2163-96.
The World Health Organization Quality of Life assessment (WHOQOL): Position paper from the World Health. Soc Sci Med. 1995;41:1403-9.
Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI) – A simple practical measure for routine clinical use. Clin Exp Dermatol. 1994;19:210-6.
Barnes LE, Levender MM, Fleischer AB, Jr, Feldman SR. Quality of life measures for acne patients. Dermatol Clin. 2012;30:293-300.
Adityan B, Kumari R, Thappa DM. Scoring systems in acne vulgaris. Indian J Dermatol Venerol Leprol. 2009;75:323-6.
Kubba R, Bajaj AK, Thappa DM, Sharma R, Vedamurthy M, Dhar S, et al. Indian Acne Alliance (IAA). Acne in India: Guidelines for management. IAA consensus document. Genetics in acne. Acne and quality of life. Pathogenesis of acne. Indian J Dermatol Venerol Leprol. 2009;75:S4-5.
Durai PC, Nair DG. Acne vulgaris and quality of life among young adults in South India. Indian J Dermatol. 2015;60:33-40.
Kulthanan K, Jiamton S, Kittisarapong R. Dermatology Life Quality Index in Thai patients with acne. Siriraj Med J. 2007;59:3-7.
Sivaramakrishnan S, Jayakar T. A study on the dermatology life quality index in patients with acne vulgaris. Int J Res Dermatol. 2019;5:774-8.
Hazarika N, Rajaprabha RK. Assessment of life quality index among patients with acne vulgaris in a suburban population. Indian J Dermatol. 2016;61(2):163.
Durai PC, Nair DG. Acne vulgaris and quality of life among young adults in South India. Indian journal of dermatology. 2015;60(1):33.
Chowdary NK, Prabhu SS, Shenoi SD, Nayak SU. Quality of life in acne patients: A clinical and Dermatology Life Quality Index (DLQI) based cross-sectional study. Journal of Pakistan Association of Dermatology. 2019;28(4):415-9.