Alcoholism and Skin Disease

Parish, Lawrence Charles; Fine, Eric W.

doi:10.1111/j.1365-4362.1985.tb05788.x

Cited by 11 publications

(15 citation statements)

References 9 publications

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“…The rarity of rosacea (3; 1.5%) in ours as well as in some earlier studies[2815] could be because of the tendency of rosacea patients to avoid alcohol entirely because of the uncomfortable flushing.…”

Section: Discussionsupporting

confidence: 70%

“…Generalized xerosis was the most common of the probable alcohol-induced deficiency disorders in our study as well as that of Parish and Fine;[15] Its significant association with both the duration and amount of alcohol intake should raise an alert for other signs of liver damage. Our study also found eight (4%) patients suffering from pellagroid dermatitis.…”

Section: Discussionsupporting

confidence: 67%

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Association of dermatoses with duration and quantum of alcohol intake: A comparative cross-sectional study

et al. 2017

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Background:Chronic alcohol intake impacts skin directly, through organ dysfunction or by modifying preexisting dermatoses. However, dermatoses afflicting chronic alcoholics figure in a few studies only.Aim:This study aims to correlate the spectrum of dermatoses in chronic alcoholics with the quantum/duration of alcohol intake and raised liver transaminases.Materials and Methods:Adult males, totaling 196, ascertained to fulfill the Royal College of Psychiatry criteria for chronic alcoholism by the de-addiction center and referred for dermatological consult were enrolled as cases, and similar number of age-/sex-matched teetotallers, as controls. Data emanating from detailed history, clinical examination, and routine liver functions tests were summarized and subsequently analyzed, including statistically using the Chi-square, independent “t” and Spearman's rank correlation tests, and compared with data from previous studies.Results:Majority (104) drank 41–50 units of alcohol/week since 3–40 (mean: 20.01 ± 9.322) years. Generalized pruritus (odds ratio [OR]: 31.15, P < 0.001), xerosis (OR: 3.62, P = 0.008), and seborrheic dermatitis (OR: 12.26, P < 0.001) were significantly more common in cases than controls. Infections (73; 37.2%), eczemas (45; 22.9%), and generalized hyperpigmentation (28; 14.2%) were the major presenting complaints. Spider nevi, gynecomastia, and pellagroid dermatitis were present in 34 (17.3%), 19 (9.7%), and 8 (4.1%) respectively exclusively in cases only. Commonly seen systemic abnormalities were an alcoholic liver disease (45; 22.9%), diabetes mellitus (23; 11.7%), and peripheral neuropathy (19; 9.7%).Conclusion:Knowledge of cutaneous manifestations of chronic alcoholism could prompt in-depth history taking of alcohol intake, lead to specialist referral and thereby enable timely de-addiction, hopefully before serious adversities in the chronic alcoholics.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionsupporting

confidence: 67%

Association of dermatoses with duration and quantum of alcohol intake: A comparative cross-sectional study

et al. 2017

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“…11,15 However, the results are discordant from the result obtained by Rosset and Oki, that only found one case of pellagra among 355 alcoholic patients, a fact that was probably due to the good nutritional condition of those patients. 16 Data collected by Parish and Fine 17 , also differed, since they did not find a single case of pellagra during their survey. Thus it can be seen that the frequency of pellagra in alcoholic patients is still a point of discussion, both in Brazil and in other countries.…”

Section: Discussionmentioning

confidence: 96%

Study on dermatoses and their prevalence in groups of confirmed alcoholic individuals in comparison to a non-alcoholic group of individuals

Bruno

Vilela

Oliveira³

2013

An. Bras. Dermatol.

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BACKGROUND The direct relationship between alcoholism and dermatoses has been evaluated in recent researches. However, there are few objective surveys that demonstrate and prove a direct relationship between alcohol and a specific dermatosis. OBJECTIVES to verify the prevalence of dermatoses in alcoholics, analize the dermatological changes found in these patients and their evolution during alcoholic abstinence. Also, to compare the results obtained with a non-alcoholic control group and with the data found in medical literature. METHODS: the dermatologic conditions of 278 alcoholic patients (250 men, 28 women) were studied over a period of 4 years, and compared to those of a control group of 271 non-alcoholic individuals (249 men, 22 women), members of the Military Police Force. The individuals in both groups were between 20 and 60 years old. RESULTS Pellagra, nummular eczema, purpura pigmentosa chronica (also known as pigmented purpuric dermatosis) and psoriasis were more frequent in the group of alcoholics and, apparently, occurred in parallel with alcoholism that seems to play a role in the evolution of these dermatoses. The dermatopathies were more frequent before the age of forty, regardless of factors such as profession, race or gender. CONCLUSION the association of dermatoses and alcoholism was extremely significant according to the statistical data. Alcoholism can be considered a risk factor for pellagra, psoriasis, nummular eczema and purpura pigmentosa chronica dermatoses, which can, as well, be considered alcoholism indicators.

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“…Because the Natural Moisturizing Factor (NMF) diminishes each decade of life, dry skin problems also occur in older patients [30,31] . This is also the case with people who have nutritional deficiencies, especially essential fatty acids, and chronic alcoholics [32,33] . Contrary to what is commonly reported as a positive effect of socio-aesthetics, the care given had almost no effect on patient self-image and on the image they gave to others ( Table 4).…”

Section: Discussionmentioning

confidence: 99%

Impact of Socio-Aesthetics as Supportive Care in A Large, Multi-Specialty Hospital

C閘ine

V閞onique

Jourdan

et al. 2017

Journal of Dermatological Research

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Alcoholism and Skin Disease

Cited by 11 publications

References 9 publications

Association of dermatoses with duration and quantum of alcohol intake: A comparative cross-sectional study

Association of dermatoses with duration and quantum of alcohol intake: A comparative cross-sectional study

Study on dermatoses and their prevalence in groups of confirmed alcoholic individuals in comparison to a non-alcoholic group of individuals

Impact of Socio-Aesthetics as Supportive Care in A Large, Multi-Specialty Hospital

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