Characteristics of actinic prurigo in Scotland: 24 cases seen between 2001 and 2015

MacFarlane, L.; Hawkey, Sean; Naasan, Hannah; Ibbotson, Sally H.

doi:10.1111/bjd.14444

Cited by 16 publications

(23 citation statements)

References 15 publications

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“…Lower DLQI scores for EPP were reported by Jong et al ., perhaps reflecting selection bias and a smaller sample size. In two AP studies, DLQI scores > 10 were reported in 16 of 25 (64%) of U.K. patients and in six of nine (67%) of Scottish patients . In patients with SU, average DLQIs of 9–11 have been reported, with 36–56% of patients having DLQI > 10 …”

Section: Resultsmentioning

confidence: 99%

“…Eleven studies were of cross‐sectional design, along with five cohort studies, three randomized controlled trials and one case–control study . Of the 20 studies, four were rated poor quality, 14 fair quality and two good quality (Tables S5–7; see Supporting Information). The results below are presented organized by tool as our aim was to identify tool usage.…”

Section: Resultsmentioning

confidence: 99%

“…Six tools were used for QoL assessment in photodermatoses. The Dermatology Life Quality Index (DLQI) was used in 14 studies (Table ; and Table S4; see Supporting Information) . Six studies used the Children's Dermatology Life Quality Index (CDLQI) and three used Skindex (16‐ and 29‐item versions) .…”

Section: Resultsmentioning

confidence: 99%

“…Three studies used the DLQI across a range of photodermatoses, while 11 used it in specific diagnoses (Table ) …”

Section: Resultsmentioning

confidence: 99%

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Quality of life and psychological impact in the photodermatoses: a systematic review

et al. 2019

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Summary Background The photodermatoses affect large proportions of the population but their impact on quality of life (QoL) and psychological health has not been reviewed. Several tools are available to evaluate QoL and psychological impacts. Objectives To systematically review current literature to identify tools used to assess QoL and psychological impacts in patients with photodermatoses, and to summarize the reported findings. Methods A systematic search of PubMed, OVID Medline, PsycInfo and CINAHL was performed for articles investigating QoL and/or psychological impact in patients with photodermatoses, published between 1960 and September 2018. Results Twenty studies were included: 19 incorporated QoL assessment while three evaluated psychological morbidity. Six QoL tools were found to be used: Dermatology Life Quality Index (DLQI), Children's DLQI, Family DLQI, Skindex (16‐ and 29‐item versions), Erythropoietic Protoporphyria Quality of Life (EPP‐QoL) and EuroQol. Between 31% and 39% of photosensitive patients reported a very large impact on QoL (DLQI > 10). Employment and education, social and leisure activities, and clothing choices were particularly affected. Only one tool was specifically designed for a photodermatosis (EPP‐QoL). Four tools were used to evaluate psychological impact: the Hospital Anxiety and Depression Scale, Fear of Negative Evaluation, brief COPE and Illness Perception Questionnaire‐Revised. Levels of anxiety and depression were approximately double British population data. Patients with facial involvement, female gender and younger age at onset showed more psychological morbidity. Conclusions Several tools have been used to assess QoL in the photodermatoses, and confirm substantial impact on QoL. Development of specific, validated QoL measures would address their unique impacts. Research delineating their psychological comorbidity is sparse and requires further exploration. What's already known about this topic? The photodermatoses negatively impact quality of life (QoL) and cause psychological distress, but no reviews of this area appear in the literature. What does this study add? Few studies have explored the psychological and social impacts of the photodermatoses. There are no fully validated QoL tools specific to the photodermatoses. Around one‐third of adult and child patients with photosensitivity experience very or extremely large impact on QoL, with particular effect on clothing choices, employment and social and leisure activities. Studies suggest anxiety and depression levels in these patients are around double those in the U.K. general population. More attention is required on these ‘hidden’ conditions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Three studies used the DLQI across a range of photodermatoses, while 11 used it in specific diagnoses (Table ) …”

Section: Resultsmentioning

confidence: 99%

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Quality of life and psychological impact in the photodermatoses: a systematic review

et al. 2019

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“…En cuanto al sexo, los hallazgos fueron similares a lo reportado en otras poblaciones latinoamericanas 25 - 28 y en aquellas de origen caucásico: Escocia 29 , Australia 19 , Canadá 8 y Francia 10 , con porcentajes similares o mayores al encontrado en este estudio y predominio de mujeres. Se ha sugerido que el 17 beta-estradiol tiene un efecto protector contra la inmunosupresión ocasionada por la radiación ultravioleta, por lo que las fotodermatosis como el prurigo actínico y la erupción polimorfa lumínica se presentan con mayor frecuencia en las mujeres 30 .…”

Section: Discussionunclassified

Prurigo actínico en un centro dermatológico de referencia en Colombia: 108 casos

Pardo-Zamudio¹,

Valbuena²,

Jiménez-Torres³

et al. 2020

biomedica

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Introducción. El prurigo actínico es una fotodermatosis crónica. Afecta con mayor frecuencia a la población latinoamericana, predomina en mujeres y compromete la piel expuesta al sol, las conjuntivas y los labios.Objetivo. Actualizar la información sobre las características clínico-epidemiológicas y el tratamiento de pacientes con prurigo actínico en Colombia.Materiales y métodos. Se hizo un estudio de corte transversal que incluyó los registros clínicos de pacientes con prurigo actínico atendidos en el Servicio de Fotodermatología del Hospital Universitario Centro Dermatológico Federico Lleras Acosta entre el 2011 y el 2016, y se describieron sus características demográficas, clínicas e histopatológicas, así como su tratamiento.Resultados. Se incluyeron 108 pacientes, el 71,3 % de ellos mujeres y el 28,7% hombres, con predominio de los fototipos III-IV (70 %). La enfermedad se había iniciado durante la primera década de vida en el 66,4% de los casos y el 25 % de los pacientes tenía antecedentes familiares de la enfermedad. Las lesiones predominaban en el rostro (93,5 %), los antebrazos (79,6 %) y el dorso de las manos (70,4 %). También, se documentó compromiso ocular (87,9 %) y de los labios (88,8 %). Se hizo la prueba de fotoprovocación con radiación ultravioleta A en el 25 % de los casos y biopsia cutánea en el 19,4 %. Todos los pacientes se trataron con protección solar química y física. En los casos leves a moderados, se formularon corticoides tópicos (91,7 %) e inhibidores de la calcineurina (65,7 %), y en los graves, talidomida (33,3 %) y pentoxifilina (14,8 %).Conclusión. Las características de los pacientes colombianos con prurigo actínico son similares a las reportadas en otros países latinoamericanos: inicio temprano de la enfermedad, predominio en mujeres, compromiso frecuente de conjuntivas y labios, y adecuada respuesta al tratamiento tópico y sistémico.

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A Patient With a 10-Year History of Generalized Pruritus

2020

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A white woman in her early 40s presented with generalized pruritus of 10-years' duration. She had no other medical history. The patient provided the report of a skin biopsy performed 2 years before presentation. It was described as indicating spongiotic dermatitis. She had been treated with topical corticosteroids with no control of the symptoms. Physical examination revealed erythematous papules, some of them crusted, and some excoriations located over the trunk and upper extremities (Figure 1A). In addition, some scales and fissures were seen on her lower lip (Figure 1B), sparing the surrounding skin, as well as inner mouth and upper lip. A new biopsy sample was taken to rule out actinic cheilitis. Diagnosis B. Actinic prurigo cheilitis Microscopic Findings and Clinical Course

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Characteristics of actinic prurigo in Scotland: 24 cases seen between 2001 and 2015

Cited by 16 publications

References 15 publications

Quality of life and psychological impact in the photodermatoses: a systematic review

Quality of life and psychological impact in the photodermatoses: a systematic review

Prurigo actínico en un centro dermatológico de referencia en Colombia: 108 casos

A Patient With a 10-Year History of Generalized Pruritus

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