Quality Of Life In Patients With Chronic Dermatophytosis

Authors

  • Ajitesh Prakash Varshney Sri Ram Murti Smarak Institute of medical sciences, Bareilly
  • Pratik Gahalaut Sri Ram Murti Smarak Institute of Medical Sciences, Bareilly
  • Pavan Kumar Pardal Sri Ram Murti Smarak Institute of Medical Sciences, Bareilly
  • Nitin Mishra Sri Ram Murti Smarak Institute of Medical Sciences, Bareilly
  • Madhur Kant Rastogi Sri Ram Murti Smarak Institute of Medical Sciences, Bareilly
  • Manisha Thapa Sri Ram Murti Smarak Institute of Medical Sciences, Bareilly

DOI:

https://doi.org/10.3126/njdvl.v18i1.27249

Keywords:

Antifungal Agents, Dermatology, Pruritus, Quality of Life

Abstract

Introduction: The term “chronic dermatophytosis” can be described as patients who have suffered tinea infections for more than 6 months, with or without recurrence. Since last few years we are facing an onslaught of chronic and recurrent dermatophytosis. These infections are increasingly becoming debilitating with severe symptoms like itching and increasingly showing lack of response to traditional treatment, hence it has become utmost important to assess impact of dermatophytosis today on quality of life of patients.

Objectives: To determine quality of life in patients with chronic dermatophytosis using Dermatology Life Quality Index (DLQI).

Materials and Methods: Adult literate patients having chronic dermatophytosis which was confirmed by KOH mount were included in the study. History, clinical features and other relevant details were included in a proforma. All patients were asked to fill DLQI questionnaire in Hindi. Controls having disease for less than six months were also included. Data thus obtained was collected and tabulated. The data was analysed using SPSS software and relevant statistical tests were used.

Results: Total number of cases collected were 263, 137 controls were also included. In gender distribution, cases had 71.86% males and 28.14% female while controls had 63.5% males and 36.5% females. Mean DLQI of cases was 14.28+/-5.16 and controls was 11.56+/-3.60. DLQI distribution of cases -162(61.6%) had very large effect, 64(24.33%) had moderate effect, and 32(12.17%) had extremely large effect on DLQI. Domains of Symptoms and feelings (72.67%), work and school related activities (69%) and treatment related problems (67.67%) posed maximum impairment. Quality of life derangement increased significantly with presence of lesions on both exposed and non exposed sites and increase in body surface area.

Conclusion: While superficial dermatophytosis affects quality of life (QoL) in all patients, chronic dermatophytosis has a significantly more derogatory effect on the QoL of a person with some of the patient also showing extremely large effect on QoL.

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Author Biographies

Ajitesh Prakash Varshney, Sri Ram Murti Smarak Institute of medical sciences, Bareilly

Senior Resident, Department or Dermatology

Pratik Gahalaut, Sri Ram Murti Smarak Institute of Medical Sciences, Bareilly

Professor, Department of Dermatology

Pavan Kumar Pardal, Sri Ram Murti Smarak Institute of Medical Sciences, Bareilly

Professor, Department of Psychiatry

Nitin Mishra, Sri Ram Murti Smarak Institute of Medical Sciences, Bareilly

Associate Professor, Department of Dermatology

Madhur Kant Rastogi, Sri Ram Murti Smarak Institute of Medical Sciences, Bareilly

Associate Professor, Department of Dermatology

Manisha Thapa, Sri Ram Murti Smarak Institute of Medical Sciences, Bareilly

Assistant Professor, Department of Dermatology

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Published

2020-10-08

How to Cite

Varshney, A. P., Gahalaut, P., Pardal, P. K., Mishra, N., Rastogi, M. K., & Thapa, M. (2020). Quality Of Life In Patients With Chronic Dermatophytosis. Nepal Journal of Dermatology, Venereology &Amp; Leprology, 18(1), 44–51. https://doi.org/10.3126/njdvl.v18i1.27249

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Original Articles