Assessment of the quality of life (<scp>QoL</scp>) of patients with dermatitis and the impact of patch testing on <scp>QoL:</scp> A study of 519 patients diagnosed with dermatitis

Background: Parthenium dermatitis is caused by friable plant extracts of Parthenium hysterophorus and related species. Approximately 40% of cases of plant dermatitis in India are contributed by this single species. Materials and Methods: This was a cross-sectional, observational study conducted in the Department of Dermatology of Jhalawar Medical College. Ninety-nine consecutive patch test positive parthenium dermatitis human subjects of age more than 16 and either sex were included. The study period was 11 months between September 2019 and August 2020. Sociodemographic, clinical profile parthenium dermatitis severity score (PDSS) and Dermatology life quality index (DLQI) were obtained from each patient. Correlation between PDSS and DLQI was obtained using Pearson's two-tailed coefficients. Results: Our study included 62 men and 37 women (1.67:1). The mean age was 51 ± 10.27 years. Mean duration of disease was 8.47 ± 4.45 years, and mean PDSS was 57.25 ± 17.65, mean DLQI was 17.14 ± 5.56. ABCD with CAD was the most common clinical subtype (45.45%). A significant positive correlation was observed between PDSS and DLQI. Conclusion: In this study, a significant impairment in quality of life (QoL) was observed in patients with higher score of PDSS and increasing duration, emphasizing that the disease needs specialized care including multiple indoor admission at the time of flare-up of disease.

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“…In a study done by Waranya Boonchai et al . [ 17 ] mean DLQI 9.5, which was less as compared to our study.…”

Section: Discussioncontrasting

confidence: 89%

Misery of Living with Parthenium Dermatitis

Agarwal

Saini

Kumar

et al. 2021

Indian Dermatology Online Journal

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“…In these studies, FD has been associated with low quality of life in AD patients especially within the areas of social activities and embarrassment. [37][38][39] Both of these areas are mentioned by the patients in our nonvalidated questionnaire as the primary cause of limiting their daily life.…”

Section: Skin Test Study With Natural Ingredientsmentioning

confidence: 99%

Facial contact dermatitis caused by cosmetic‐relevant allergens

2021

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Background: Facial allergic contact dermatitis caused by cosmetic products is common. New allergens in cosmetics continuously emerge.Objectives: To investigate characteristics of patients with facial dermatitis (FD) between 2010 and 2019 including patch test results from cosmetic-related allergens and a new test series with cosmetic-relevant natural ingredients (CRNIs).Methods: This is a retrospective study analysing demographics, clinical characteristics according to MOAHLFA index (male; occupation; atopic dermatitis; hand; leg; face; age ≥ 40 years), and patch test results to 27 cosmetic-relevant allergens in FD patients. A prospective study evaluating a screening test series with CRNIs in consecutive FD patients for 1 year was also conducted. These patients received a questionnaire for collecting extra characteristics (eg, concerning quality of life).Results: Of 8740 tested patients, 2292 (26.2%) had FD. Of these, 30.6% had cosmeticinduced FD. The most common cosmetic-related allergens were fragrances and preservatives. The most common patch test-positive CRNIs were hydroperoxides of limonene and linalool, and propolis. Potato and peanut were rare, but the most common prick test-positive CRNIs, however, without any relation to the use of cosmetic products. FD affected nearly all patients' quality of life and caused limitations to their daily life.Conclusions: Updated management and quick diagnosis of FD is important to avoid negative impact on patients' quality of life.cosmetic products, facial dermatitis, natural ingredients, patch test, skin prick test | INTRODUCTIONThe lifetime prevalence of facial dermatitis (FD) is around 10% in the general population. 1 Many FD patients present in dermatology clinics for diagnosis and treatment. 1 FD may have a negative impact on patients quality of life in addition to socioeconomic consequences. 2,3 Compared with hand dermatitis, surprisingly few studies have recently focused on the frequency, characteristics, and potential impact of FD and facial allergic contact dermatitis (FACD). 1,4,5 Cosmetics are probably the most common reason that FD patients present for patch testing, as allergic contact dermatitis is suspected. 4 Many ingredients in cosmetic products are contact allergens and have been shown to be common causes of FACD, especially fragrances and preservatives. [5][6][7] However, investigations of FACD may have a certain complexity due to the many ingredients and potential allergens present in cosmetics, and the cause of the allergy may be overlooked. New allergens, such as natural ingredients, continuously emerge in cosmetic products and could potentially make investigation and causes of FD even more comprehensive as they may also give rise to contact urticaria and/or protein contact dermatitis in FD patients. Cosmetics labelled as "natural" with plant protein derivatives, for example, wheat and oat, and animal protein derivatives, for example, milk, known to have the potential to cause immediate-type allergy when ingested, are increasing in popularity as cosm...

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“…Furthermore, these clinical visits would probably have led to improvement of the patients' knowledge as well as improved management of eczema and the skin barrier. Previous studies have reported an improvement in QoL in patients after patch testing 22 . It has been shown that QoL improves over time after patch testing both at a shorter 8–12 and a longer follow‐up period 13 .…”

Section: Discussionmentioning

confidence: 98%

“…Previous studies have reported an improvement in QoL in patients after patch testing. 22 It has been shown that QoL improves over time after patch testing both at a shorter 8 , 9 , 10 , 11 , 12 and a longer follow‐up period. 13 An improvement in life quality after patch test could be seen in patients with a positive patch test as well as patients with no contact allergies.…”

Section: Discussionmentioning

confidence: 99%

Impact on quality of life of an intervention providing additional information to patients with allergic contact dermatitis; a randomized clinical trial

Mossing

Dizdarevic

Svensson

et al. 2022

Acad Dermatol Venereol

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Background Allergic contact dermatitis can negatively impact an individual's daily life in terms of work and interpersonal relationships. Patch-tested individuals show an improved quality of life (QoL).Objectives We aimed to assess the impact on QoL after patch testing and what value an intervention would have on QoL.Methods Dermatology Quality of Life Index (DLQI) were assessed in participants with positive patch test reaction. The participants were randomized, in parallel design, into two groups that received either standard information (controls, n = 70) or a reminder letter in addition to standard information (intervention group, n = 66), ClinicalTrials.gov NCT01953380. ResultsThe response rate was 74% (n = 136). The DLQI score was significantly lower 1 year after patch testing in comparison with baseline in the entire group (mean DLQI 6.3 and 4.5 respectively, 95% CI 0.93-2.72, P < 0.001). However, linear regression analyses showed no significant differences in DLQI score at follow-up between the intervention and control groups. Neither age nor gender had impact on DLQI score. ConclusionThere was an improvement of QoL at follow-up in the entire group. However, the intervention performed did not show any significantly greater improvement concerning QoL. Further research is needed to understand what factors apart from patch testing and medical care may affect QoL in patients with contact dermatitis, and what interventions are needed to improve QoL.

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Assessment of the quality of life (QoL) of patients with dermatitis and the impact of patch testing on QoL: A study of 519 patients diagnosed with dermatitis

Cited by 9 publications

References 21 publications

Misery of Living with Parthenium Dermatitis

Misery of Living with Parthenium Dermatitis

Facial contact dermatitis caused by cosmetic‐relevant allergens

Impact on quality of life of an intervention providing additional information to patients with allergic contact dermatitis; a randomized clinical trial

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