ANALYSIS OF DERMATOLOGY LIFE QUALITY INDEX IN DERMATOPHYTOSIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 12
Abstract
BACKGROUND Superficial dermatophytoses are among the most common public health problems in tropical countries like India and account for nearly half the cases in dermatology clinics. A recent increase in number of recalcitrant or resistant dermatophytosis may probably be due to microbiological resistance, improper usage of antifungal agents in inadequate dosage, over the counter use of combination creams. This can have social, psychological, and economic impact on the patients. This study was conducted to assess the impact of dermatophytosis on the patient’s Quality of Life using the Dermatology Life Quality Index (DLQI) and to analyse its relationship with various parameters like age, sex, type of tinea, extent of involvement, duration and recurrence. MATERIALS AND METHODS Patients with clinically diagnosed cutaneous dermatophytosis visiting dermatology OPD of Goa Medical College over a period of 3 months were included. Dermatology Life Quality Index( DLQI ) questionnaire was used and correlated with age, sex, duration of symptoms, site and extent of involvement, history of topical applications, past history of similar lesions, and family history, to analyse the impact of dermatophytosis on the quality of life. RESULTS The study showed a definite impact of dermatophytosis on the quality of life with a mean DLQI of 10.84±5.83. A majority of patients (43.57%) had a very large effect on quality of life. Patients with tinea faciei had the highest impairment of quality of life. The highest score (2.07) was seen for question 1 relating to symptoms and feelings. CONCLUSION This study found a significant impact of dermatophytosis on quality of life. A statistically significant number of patients had a very large effect on the quality of life (p=0.04). Hence, this study emphasizes the need for increasing awareness, early detection and appropriate treatment of dermatophyte infections in order to prevent the spread and eliminate the use of topical steroids in dermatophytosis.
Authors and Affiliations
Anushree Khanvte, Karla Faleiro, Varadraj Pai
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