Impact of Vitiligo on Quality of Life

Morales‐Sánchez, Martha Alejandra; Vargas-Salinas, M.; Peralta‐Pedrero, María Luisa; Olguín-García, M.G.; Cruz, Fermín Jurado-Santa

doi:10.1016/j.adengl.2017.06.001

Cited by 29 publications

(50 citation statements)

References 25 publications

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“…Low self-esteem and selfreports of social isolation due to feelings of shame have been reported by many patients with vitiligo [41]. Moral et al have reported a rate of depression as 34%, according to BDI and anxiety as 60%, according to BAI, in their sample [71]. In his 2013 study, Manzoni has also reported higher levels of anxiety and depression, compared to that observed in general population, in parents of children from all interior-dermatosis groups (atopic dermatitis, psoriasis, and vitiligo -26% depression and 42% anxiety) [72].…”

Section: Discussionmentioning

confidence: 99%

Quality of life, depression, and anxiety in Turkish children with vitiligo and their parents

Önen

Kundak

Erkuran

et al. 2018

Psychiatry and Clinical Psychopharmacology

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Section: Discussionmentioning

confidence: 99%

Quality of life, depression, and anxiety in Turkish children with vitiligo and their parents

Önen

Kundak

Erkuran

et al. 2018

Psychiatry and Clinical Psychopharmacology

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“…A meta‐analysis study pooled data on 1080 patients with vitiligo and found that at least one in four vitiligo patients were diagnosed with a form of clinical depression when using a validated screening questionnaire . A cross‐sectional study of 150 patients with vitiligo reported high prevalences of depression (34%) and anxiety (60%) . A retrospective study of 31 adults with vitiligo found increased occurrence of 3+ uncontrollable events, decreased perceived social support and increased anxiety in vitiligo compared to 116 other dermatologic disease controls .…”

Section: Discussionmentioning

confidence: 99%

“…14 A cross-sectional study of 150 patients with vitiligo reported high prevalences of depression (34%) and anxiety (60%). 15 A retrospective study of 31 adults with vitiligo found increased occurrence of 3+ uncontrollable events, decreased perceived social support and increased anxiety in vitiligo compared to 116 other dermatologic disease controls. 16 A cross-sectional study of 30 Indian patients with vitiligo found that 10% had thoughts of suicide, and 3.3% had attempted suicide.…”

Section: Discussionmentioning

confidence: 99%

Association of vitiligo with hospitalization for mental health disorders in US adults

Patel

Singam

Rastogi

et al. 2018

Acad Dermatol Venereol

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Background Vitiligo has a complex bidirectional relationship with mental health (MH) disturbances. However, little is known about the relationship between vitiligo and MH emergencies. Objective To examine the associations of vitiligo and MH hospitalizations in the United States. Methods Data from the 2002 to 2012 National Inpatient Sample were analysed, including a ~20% sample of all US hospitalizations (n = 87 053 155 children and adults). Prevalence of hospitalization for MH disorders, their length of stay (LOS) and cost of care were determined for those with vitiligo compared to those without vitiligo. Results Hospitalization for MH disorders occurred more commonly in those with vitiligo compared to those without vitiligo (4.17% vs. 2.18%). In multivariable logistic regression models, vitiligo was associated with higher odds of admission for any MH disorder [adjusted odds ratio (95% confidence interval): 1.69 (1.61–1.78)], including 14 of 15 MH disorders examined. Associated MH disorders included anxiety, schizophrenia, depression, suicidal risk, personality disorder, ADD/ADHD and conduct disorder, substance use disorder, childhood and adolescent psychiatric illnesses, alcohol‐related disorders, adjustment disorders, developmental disorders, impulse control disorders, history of mental health disorders and miscellaneous mental health disorders. Vitiligo patients hospitalized with any MH disorder had higher geometric‐mean (95% confidence interval) cost of inpatient care [$10 992 ($10 477–$11 507) vs. $10 082 ($9728–$10 435)] and LOS [5.6 (5.3–5.8) vs. 4.8 (4.6–4.9); P < 0.0001] compared to those without vitiligo, with $10.5 million excess annual costs from hospitalization with MH disorders in persons with vitiligo. Conclusions Persons with vitiligo had increased hospitalization for multiple MH disorders, which were associated with a considerable cost burden.

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“…Vitiligo -any type concerned -casts significant impacts on the quality of life (QOL) of patients [1]. The presence of lesions on the visible parts and the extensiveness of lesions was reported to be significantly associated with impairments in QOL [3].…”

Section: Discussionmentioning

confidence: 99%

“…Generalised vitiligo (GV) is a disfiguring disease affecting the self image, daily life, and many social issues of sufferers [1]. We have previously reported on the application of digital epiluminescence dermoscopy (DED) in detecting the sparing of perifollicular pigments in localised vitiligo [2].…”

Section: Introductionmentioning

confidence: 99%

A Report on Applying Digital Epiluminescence Dermoscopy to Guide Topical Treatment for Generalised Vitiligo

Chuh¹

2017

IJTDH

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We have reported on utilising digital epiluminescence dermoscopy to detect the sparing of perifollicular pigments in localised vitiligo. These spotty zones might be the most acute autoimmune battle line. We saw a 68-year-old gentleman with five-year history of segmental/generalised vitiligo. He declined systemic treatments. These spotty zones mentioned above were identified by epiluminescence dermoscopy. We advised him to apply a very potent topical corticosteroid two times per week to these zones. Much improvement was seen in two months. Complete remission was achieved in another two months. We discussed on the roles of epiluminescence dermoscopy on the diagnosis and treatments of patients with all types of vitiligo where the perifollicular pigment sparing zones were too small to be identifiable by naked eyes.

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Impact of Vitiligo on Quality of Life

Abstract: Vitiligo has a minimal impact on the QOL of our patients. QOL was worse in patients with genital lesions.

Cited by 29 publications

References 25 publications

Quality of life, depression, and anxiety in Turkish children with vitiligo and their parents

Quality of life, depression, and anxiety in Turkish children with vitiligo and their parents

Association of vitiligo with hospitalization for mental health disorders in US adults

A Report on Applying Digital Epiluminescence Dermoscopy to Guide Topical Treatment for Generalised Vitiligo

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