A study of quality of life in patients with facial melanoses
Leena Raveendra1, Harsha Sidappa2, Sapna Shree3
1 Rajarajeswari Medical College and Hospital, Kambipura, Kengeri Hobli, Mysore Road, Karnataka, India
2 CUTIS Academy of Cutaneous Sciences, 5/1, 4th Main, MRCR Layout, Vijaynagar, Magadi Main Rd, Govindaraja Nagar Ward, MC Layout, Vijayanagar, Bengaluru, Karnataka, India
3 Essential Hospital, 42, Outer Ring Road, Marilingappa Extension, Nagarbhavi, Bengaluru, Karnataka, India
Rajarajeswari Medical College and Hospital, Kambipura, Kengeri Hobli, Mysore Road, Bangalore - 560 074, Karnataka
Source of Support: None, Conflict of Interest: None
Context: Facial melanoses decreases the quality of life (QoL). Melasma is the commonest cause but there are various other etiologies for facial pigmentation. Aims: To study the clinical profile of patients with facial melanoses and the psychological burden in these patients. Settings and Design: All patients having patchy or diffuse facial pigmentation attending the OPD in a tertiary care hospital for a period of 1 year were included in this hospital based cross-sectional study. Subjects and Methods: The type, extent, and distribution of the pigmentation was noted and tabulated in all patients. All patients were explained about Skindex-16 questionnaire and asked to complete it. Statistical Analysis Used: Student t-test (two tailed, independent) was used to find the significance of study parameters on continuous scale between two groups. Chi-square/Fisher Exact test was used to find the significance of study parameters on categorical scale between two or more groups. Correlation was performed using Spearman corrélation. Results: The total number of cases studied was 238 of which 186 (78.2%) were females and 52 (21.8%) were males. The most common diagnosis was melasma seen in 73% of cases. Other conditions noted were phototanning (5.8%), post-inflammatory hyperpigmentation (5.8%), Lichen planus pigmentosus (4.2%), freckles (3.7%), and Nevus of Ota (1.6%). Skindex-16 score against different grades of pigmentation showed that the mean Skindex-16 score was higher in severe cases but there was no statistically significant difference between the groups. Conclusions: The extent and severity of facial pigmentation and the decrease in the QoL are not proportional.