Impact of postinflammatory hyperpigmentation on quality of life in patients with skin of color
Background: Dyschromias are the second most commonly diagnosed dermatological entity in patients with skin of color (SOC). People with SOC develop postinflammatory hyperpigmentation (PIH) with a higher frequency and greater severity attributed to the presence of reactive melanocytes. This can have s...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-01-01
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| Series: | Pigment International |
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| Online Access: | https://journals.lww.com/10.4103/pigmentinternational.pigmentinternational_1_23 |
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| author | Ipshita Bhattacharya Paschal Dsouza Kanchan Dhaka |
| author_facet | Ipshita Bhattacharya Paschal Dsouza Kanchan Dhaka |
| author_sort | Ipshita Bhattacharya |
| collection | DOAJ |
| description | Background: Dyschromias are the second most commonly diagnosed dermatological entity in patients with skin of color (SOC). People with SOC develop postinflammatory hyperpigmentation (PIH) with a higher frequency and greater severity attributed to the presence of reactive melanocytes. This can have severe repercussions on self-esteem and social/emotional functioning. While there are studies on the impact of post-acne PIH on quality of life (QOL), the assessment of impact of PIH on QOL as a heterogenous group of dermatoses has not been studied previously. Objectives: The aim of this study was to assess the impact of PIH on QOL in patients with SOC using Skindex-16. Materials and Methods: This was a cross-sectional study conducted from October 2019 to September 2021, involving 60 patients with SOC having biopsy-proven PIH. All patients underwent thorough clinical workup, followed by the administration of the Skindex-16 questionnaire. Data were tabulated and analyzed. Results: The mean age was 32.53±11.73 years: 35 (58%) patients were male, and 25 (42%) were females. Most patients presented with PIH secondary to papulosquamous disorders (n=23; 38.34%), followed by acne/acneiform eruptions (n=11; 18.33%). The mean scores for symptoms, emotions, functioning, and total scores were 0.37±0.51, 2.30±1.13, 2.26±1.40, and 1.64±0.85, respectively. PIH lesions with simultaneous evolution were associated with higher symptoms subscale scores. A previous tendency of PIH, involvement of exposed sites, higher intensity of PIH, epidermal PIH, and lesions accentuating on Wood’s lamp had higher, statistically significant impact on emotions, functioning, and total scores. Conclusion: PIH had significant impact on Quality of Life in patients of Skin-of-Color. Our study was limited by the sample size, and larger, multicentric, population-based studies are recommended. |
| format | Article |
| id | doaj-art-91932b9e24ca4f0782878ed52b0cc703 |
| institution | Kabale University |
| issn | 2349-5847 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Pigment International |
| spelling | doaj-art-91932b9e24ca4f0782878ed52b0cc7032025-01-06T05:04:12ZengWolters Kluwer Medknow PublicationsPigment International2349-58472024-01-01111334110.4103/pigmentinternational.pigmentinternational_1_23Impact of postinflammatory hyperpigmentation on quality of life in patients with skin of colorIpshita BhattacharyaPaschal DsouzaKanchan DhakaBackground: Dyschromias are the second most commonly diagnosed dermatological entity in patients with skin of color (SOC). People with SOC develop postinflammatory hyperpigmentation (PIH) with a higher frequency and greater severity attributed to the presence of reactive melanocytes. This can have severe repercussions on self-esteem and social/emotional functioning. While there are studies on the impact of post-acne PIH on quality of life (QOL), the assessment of impact of PIH on QOL as a heterogenous group of dermatoses has not been studied previously. Objectives: The aim of this study was to assess the impact of PIH on QOL in patients with SOC using Skindex-16. Materials and Methods: This was a cross-sectional study conducted from October 2019 to September 2021, involving 60 patients with SOC having biopsy-proven PIH. All patients underwent thorough clinical workup, followed by the administration of the Skindex-16 questionnaire. Data were tabulated and analyzed. Results: The mean age was 32.53±11.73 years: 35 (58%) patients were male, and 25 (42%) were females. Most patients presented with PIH secondary to papulosquamous disorders (n=23; 38.34%), followed by acne/acneiform eruptions (n=11; 18.33%). The mean scores for symptoms, emotions, functioning, and total scores were 0.37±0.51, 2.30±1.13, 2.26±1.40, and 1.64±0.85, respectively. PIH lesions with simultaneous evolution were associated with higher symptoms subscale scores. A previous tendency of PIH, involvement of exposed sites, higher intensity of PIH, epidermal PIH, and lesions accentuating on Wood’s lamp had higher, statistically significant impact on emotions, functioning, and total scores. Conclusion: PIH had significant impact on Quality of Life in patients of Skin-of-Color. Our study was limited by the sample size, and larger, multicentric, population-based studies are recommended.https://journals.lww.com/10.4103/pigmentinternational.pigmentinternational_1_23postinflammatory hyperpigmentationquality of lifeskindex-16skin of color |
| spellingShingle | Ipshita Bhattacharya Paschal Dsouza Kanchan Dhaka Impact of postinflammatory hyperpigmentation on quality of life in patients with skin of color Pigment International postinflammatory hyperpigmentation quality of life skindex-16 skin of color |
| title | Impact of postinflammatory hyperpigmentation on quality of life in patients with skin of color |
| title_full | Impact of postinflammatory hyperpigmentation on quality of life in patients with skin of color |
| title_fullStr | Impact of postinflammatory hyperpigmentation on quality of life in patients with skin of color |
| title_full_unstemmed | Impact of postinflammatory hyperpigmentation on quality of life in patients with skin of color |
| title_short | Impact of postinflammatory hyperpigmentation on quality of life in patients with skin of color |
| title_sort | impact of postinflammatory hyperpigmentation on quality of life in patients with skin of color |
| topic | postinflammatory hyperpigmentation quality of life skindex-16 skin of color |
| url | https://journals.lww.com/10.4103/pigmentinternational.pigmentinternational_1_23 |
| work_keys_str_mv | AT ipshitabhattacharya impactofpostinflammatoryhyperpigmentationonqualityoflifeinpatientswithskinofcolor AT paschaldsouza impactofpostinflammatoryhyperpigmentationonqualityoflifeinpatientswithskinofcolor AT kanchandhaka impactofpostinflammatoryhyperpigmentationonqualityoflifeinpatientswithskinofcolor |