The CADI and the CDLQI questionnaires represent simple and reliable instruments for the assesment of HRQoL among schoolchildren with acne. In this study, we identified 17% of boys and 18% of girls perceived their acne as a major problem. It is important to detect and treat such adolescents on time to reduce the psychosocial burden associated with acne.
Onychomycosis is a common, chronic fungal nail infection that can have a significant negative impact on patients' physical and social functioning and emotional well-being. This study was undertaken to assess health-related quality of life (HRQoL) in patients with toenail onychomycosis. The Onychomycosis QoL questionnaire (ONYCHO), as a disease-specific instrument, and the Short Form 36 Health Survey (SF-36) as a generic instrument, were applied in 140 consecutive patients affected by onychomycosis. Women and patients who were experiencing toenail onychomycosis for more than 2 years were reporting worse disease-specific HRQoL. The patients working in blue-collar occupations and patients with greater involvement of individual nails were more affected by onychomycosis regarding symptoms. The results of this study confirm that although onychomycosis is not a life-threatening disease, it can significantly reduce patients' QoL.
There is significant resistance of U. urealyticum and M. hominis to tetracycline and macrolides. The most active tetracycline for genital mycoplasmas was found to be doxycycline, which continues to be the drug of first choice.
The Serbian version of the CADI is a reliable, valid, and valuable tool for assessing the impact of acne on the quality of life of Serbian-speaking patients.
Lichen sclerosus et atrophicus is a chronic disease of unknown etiology
characterized by atrophic and sclerotic plaques in both genital and extragenital
regions. Extensive bullous lichen sclerosus et atrophicus (BLSA) is a severe
variant of the disease with no widely accepted treatment. We present a
63-year-old woman with extensive extragenital, ivory-colored, atrophic plaques
on her trunk and extremities and disseminated hemorrhagic bullae. The patient
was unsuccessfully treated with standard topical corticosteroid therapy,
doxycycline and chloroquine. According to the literature, there is little
evidence of the efficacy of doxycycline and hydroxychloroquine in the treatment
of BLSA. We report a rare case of extensive BLSA that is unresponsive to these
drugs.
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