A study on the dermatology life quality index in patients with acne vulgaris


  • Sangaiah Sivaramakrishnan Department of Dermatology, Sree Balaji Medical College Hospital, Chromepet, Chennai, Tamil Nadu, India
  • Thomas Jayakar Department of Dermatology, Sree Balaji Medical College Hospital, Chromepet, Chennai, Tamil Nadu, India




Acne vulgaris, Dermatology life quality index, Quality of life


Background: Acne vulgaris is a common, chronic disorder, involving inflammation of the pilosebaceous units that can be varied in presentation and difficult to treat. Most adolescents experience some acne; however, it may linger into adulthood. This study was done to evaluate the dermatology life quality index in patients with acne vulgaris.

Methods: A cross sectional study was done with pretested Dermatology life quality index (DLQI) questionnaire on 100 acne patients 15 years and above, in a tertiary care hospital. Interpretation of score and impact on quality of life (QoL) was done and graded as no effect, small effect, moderate effect, and very large effect.

Results: In our study, females outnumbered males (M: F ratio=1: 1.22). The age group most affected was within 15 and 20 years of age. The mean DLQI score was 5.59±4.07. Most of them had a ‘small impact’ on the QoL. QoL was worse in females. The most common grade of acne overall was grade 2 acne. Grade 3 acne was more common in men. Most of the patients (84%) experienced some degree of embarrassment or increased self-consciousness due to their acne.

Conclusions: Our study showed significant impairment of QoL in acne patients. 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.


Lello J, Pearl A, Arroll B, Yallop J, Birchall NM. Prevalence of acne vulgaris in Auckland senior high school students. New Zealand Med J. 1995;108(1004):287-9.

Kligman AM. An overview of acne. J Investigative Dermatol. 1974;62(3):268-87.

Pontello R, Kondo RN. Drug-induced acne and rose pearl: similarities. Anais Brasileiros de Dermatologia. 2013;88(6):1039-40.

Kulthanan K, Jiamton S, Kittisarapong R. Dermatology life quality index in Thai patients with acne. Siriraj Med J. 2017;59(1):3-7.

Finlay AY, Khan G. Dermatology life quality index (DLQI)-a simple practical measure for routine clinical use. Clin Exp Dermatol. 1994;19(3):210-6.

Adityan B, Kumari R, Thappa DM. Scoring systems in acne vulgaris. Indian J Dermatol Venereol Leprol. 2009;75(3):323.

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 J Dermatol. 2015;60(1):33.






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