Prevalence and Characteristics of Pruritus and Association With Quality of Life in People Living With HIV: A Cross-Sectional Study

Xu, Thomas Q.; Shetty, Avinash K.; Badiger, Sanjeev; Chan, Yiong Huak; Yosipovitch, Gil

doi:10.1016/j.jpainsymman.2018.01.014

Cited by 8 publications

(8 citation statements)

References 15 publications

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“…Even the prevalence of pruritus in our study was lower compared to other studies, which estimate it at approx. 12-45% [8].…”

Section: Discussionmentioning

confidence: 99%

Mucocutaneous disorders in HIV/AIDS at a tertiary care hospital in Nepal: An observational study

Rajput¹,

Das²,

Paudel³

et al. 2021

Our Dermatol Online

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Background: Mucocutaneous manifestations in HIV infections are common. However, they have not, so far, been studied in Nepal. The aim of this study was, therefore, to describe mucocutaneous manifestations in Nepalese HIV patients. Materials and Methods: The following is a hospital-based, descriptive, cross-sectional study conducted in the Department of Dermatology and Venereology and Antiretroviral Treatment (ART) Center of Tribhuvan University Teaching Hospital (TUTH) from May 2017, through October 2018. Patients aged 16 years and above diagnosed with HIV were included in the study, for whom history and clinical examinations were performed. The study variables were age, sex, a clinical diagnosis of dermatological problems, clinical stages of HIV/AIDS, as per the World Health Organization (WHO) classification criteria, and the CD4 count. Results: A total of 52 patients were included in the study. The mean age upon presentation was 38.77 ± 10.9 years. The mean CD4 count was 464.27 ± 255.13. Females were more affected than males (female:male = 1.4:1). Mucocutaneous manifestations were the following: fungal infections (10; 19.3%), viral infections (6; 11.6%), parasitic infestations (3; 5.8%), bacterial infections (4; 7.7%), sexually transmitted infections (2; 3.8%), seborrheic dermatitis (3; 5.8%), idiopathic pruritus (3; 5.8%), recurrent oral ulcers (3; 5.8%), urticaria (3; 5.8%), pruritic papular eruptions (2; 3.8%), eczemas (2; 3.8%), acne (2; 3.8%), angular cheilitis (2; 3.8%), xerosis cutis (2; 3.8%), and others (5; 9.6%). Conclusions: The study showed that fungal infections are common in HIV patients, followed by viral infections and parasitic infestations. Seborrheic dermatitis, idiopathic pruritus, recurrent oral ulcers, and urticaria were found to be common inflammatory skin diseases in HIV.

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“…Even the prevalence of pruritus in our study was lower compared to other studies, which estimate it at approx. 12-45% [8].…”

Section: Discussionmentioning

confidence: 99%

Mucocutaneous disorders in HIV/AIDS at a tertiary care hospital in Nepal: An observational study

Rajput¹,

Das²,

Paudel³

et al. 2021

Our Dermatol Online

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“…HIV infection and AIDS contribute to acute and CI worldwide (2,3,5,29). Some diseases vary according to country and its most frequent diseases.…”

Section: Etiologies Of Itch Worldwide: Examplesmentioning

confidence: 99%

Itch: A Global Problem?

Weißhaar

2021

Front. Med.

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“…The Global Burden of Disease Study 2010 7 reports a high prevalence of skin disease in persons older than 70 years of age, with pruritus being one of the top 50 interdisciplinary symptoms. The severity and chronicity of pruritus are significantly associated with poor sleep quality, more depressive symptoms, higher anxiety levels, more nonspecific somatic symptoms and impaired quality of life (QOL) 8–12 . Poor understanding of the cause and chronicity of CP may drive the patient to seek temporary symptomatic relief rather than regular preventive management of the condition.…”

Section: Introductionmentioning

confidence: 99%

“…The impact of CP on daily life can be significant 12,19–21 . CP was shown to cause sleep disruption in 35.1% of older inpatients in a local tertiary hospital, while 30.9% reported difficulty concentrating on their daily activities 9 .…”

Section: Introductionmentioning

confidence: 99%

“…The severity and chronicity of pruritus are significantly associated with poor sleep quality, more depressive symptoms, higher anxiety levels, more nonspecific somatic symptoms and impaired quality of life (QOL). 8 , 9 , 10 , 11 , 12 Poor understanding of the cause and chronicity of CP may drive the patient to seek temporary symptomatic relief rather than regular preventive management of the condition. This is evident in other chronic diseases with periodical acute exacerbations such as asthma, with the disease pattern similar to that of CP.…”

Section: Introductionmentioning

confidence: 99%

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A qualitative research study on the illness perception of chronic pruritus in older Asian adults based on the Common‐Sense Model of self‐regulation

Moosa

Leng

Kum

et al. 2021

Health Expectations

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Background Chronic pruritus (CP), itch lasting more than 6 weeks, is common in community‐dwelling older adults. Understanding their illness perception allows the attending physician to develop a personalised care plan to mitigate CP. Aim This study explores the illness perception of CP among older Asian adults in an urban community. Design Qualitative research was conducted, framed by the Common‐Sense Model of self‐regulation (CSM). Through in‐depth interviews (IDIs), qualitative data were gathered from Asian patients with CP, and then a thematic analysis was carried out. The emergent themes were grouped according to the five domains of CSM: ‘identity’, ‘cause’, ‘time’, ‘controllability’ and ‘consequence’. Setting and Patients IDIs were conducted in a Singapore public primary care clinic before the data were saturated. Results The CSM domains illustrate the illness perception of CP. CP was identified as a ‘problem’ rather than a disease and was often described in metaphor. Patients' perception of the cause was diverse due to the lack of provision of a clear explanation by their physicians. They opined that CP continued indefinitely. Without definite time to resolution, patients adapted their help‐ and health‐seeking behaviours to control it. The consequences included therapeutic experimentation, alternative therapy, self‐isolation, avoidance behaviours, emotional disturbance and dermatological complications. Conclusion and Patient Contribution Patients provided information on their perception of CP, which aligned with the CSM. A multipronged approach is needed to deliver holistic and personalised care to patients with CP, providing clarity on its natural progression, to set their expectations on its timeline, treatment effectiveness and undertake appropriate behaviour modification to adapt to its chronicity.

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Prevalence and Characteristics of Pruritus and Association With Quality of Life in People Living With HIV: A Cross-Sectional Study

Cited by 8 publications

References 15 publications

Mucocutaneous disorders in HIV/AIDS at a tertiary care hospital in Nepal: An observational study

Mucocutaneous disorders in HIV/AIDS at a tertiary care hospital in Nepal: An observational study

Itch: A Global Problem?

A qualitative research study on the illness perception of chronic pruritus in older Asian adults based on the Common‐Sense Model of self‐regulation

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