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Quality of life in children with pityriasis rosea: a prospective case control study
1Department of Medicine, University of Hong Kong and Queen Mary Hospital, Pokfulam, Hong Kong. achuh@iohk.com
Insights
Pityriasis rosea (PR) significantly impacts children's quality of life (QOL), affecting daily activities more than healthy children but less than those with atopic dermatitis. Parents worry about PR's cause, spread, and potential complications.
Area of Science:
- Pediatric Dermatology
- Quality of Life Research
Background:
- Pityriasis rosea (PR) is a common skin condition in children.
- The impact of PR on pediatric quality of life (QOL) and parental concerns requires further investigation.
Purpose of the Study:
- To assess the effects of pityriasis rosea on the quality of life in children.
- To identify parental concerns related to pityriasis rosea in their children.
Main Methods:
- A study involving 10 children diagnosed with pityriasis rosea (PR) aged 5-16 years.
- Control groups included children with atopic dermatitis and those with no active skin conditions.
- Data collected using the Children's Dermatology Life Quality Index (CDLQI) and parental questionnaires.
Main Results:
- Children with PR reported significantly lower QOL scores compared to children with atopic dermatitis and those without skin issues.
- Specific QOL domains affected in children with PR included symptoms/feelings, personal relationships, and sleep.
- Parents of children with PR expressed significant concerns about the disease's etiology, infectivity, relapse, and potential complications.
Conclusions:
- Pediatric quality of life is significantly impacted by pityriasis rosea, though less so than by atopic dermatitis.
- Parental concerns regarding the cause, transmission, recurrence, and severity of PR are substantial.
- Findings suggest the need to consider active interventions for managing PR based on its QOL impact and parental anxieties.
Abstract:
Our aim was to investigate the effects on quality of life of pityriasis rosea (PR) in children and the concerns of their parents. We recruited all children ages 5-16 years with a diagnosis of PR in a primary care setting over a period of 30 months. Controls were the next child of the same sex and comparable age consulting for atopic dermatitis or for conditions unrelated to the skin. Information on parental concerns was also gathered. Ten children with PR and 20 control subjects were recruited. Total Children's Dermatology Life Quality Index (CDLQI) scores of children with PR (mean 3.50; 95% confidence interval [CI] 2.66-4.34) were significantly lower than those of children with atopic dermatitis (mean 7.70; 95% CI 5.59-9.81). Children with PR had significantly lower scores for symptoms and feelings, personal relationships, and sleep. Total CDLQI scores of children with PR were significantly higher than those of children with no active skin problem (mean 0.30; 95% CI -0.18 to 0.78). Significantly more parents of children with PR had concerns regarding the etiology, infectivity, relapse, and complications or dangers of the disease. We concluded that quality of life (QOL) of children with PR is significantly less affected than that of children with atopic dermatitis and significantly more affected than in children with no active skin problem. The major concerns of parents of children with PR are the etiology, infectivity, relapse, and complications or dangers. These results have important implications on whether active intervention is worthwhile for this disease.