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Quality of life in children with skin disease: A Spanish sample
Lucía Campos-Muñoz1, Cristina Belmar Madrid1, Alberto Conde-Taboada1
1Servicio de Dermatología, Hospital Clínico San Carlos, Madrid, Spain.
Insights
Pediatric skin conditions significantly impact quality of life. Atopic dermatitis most affected patients, while treatments for viral warts and molluscum contagiosum caused distress.
Area of Science:
- Dermatology
- Pediatrics
- Quality of Life Research
Background:
- Skin diseases present a wide spectrum of quality of life impacts, comparable to chronic respiratory conditions.
- Understanding these impacts is crucial for effective patient management.
Purpose of the Study:
- To assess the quality of life impairment in pediatric dermatology patients.
- To identify specific skin conditions and their associated factors affecting quality of life.
Main Methods:
- Cross-sectional, observational, and descriptive study design.
- Utilized the Children's Dermatology Life Quality Index (CDLQI) for assessment.
- Included pediatric patients managed in a dermatology clinic.
Main Results:
- Atopic dermatitis showed the highest impact, primarily due to pruritus and insomnia.
- Acne significantly affected quality of life through negative emotions like shame and sadness.
- Viral warts and molluscum contagiosum impacts were largely treatment-related (cryotherapy).
- Nevi and café-au-lait spots had minimal impact, though some patients experienced negative feelings.
Conclusions:
- Atopic dermatitis was the leading cause of quality of life impairment in the studied pediatric cohort.
- Treatment modalities, especially cryotherapy for warts and molluscum contagiosum, negatively influenced patient quality of life.
- Recommendations include exploring less painful treatment alternatives for specific pediatric dermatoses.
Introduction:
The impact of skin diseases on quality of life varies widely, and some can have an impact similar to that of asthma or cystic fibrosis.
Material And Methods:
We conducted a cross-sectional, observational and descriptive study with the aim of describing the degree to which quality of life was affected in paediatric patients managed in a dermatology clinic by means of the Children's Dermatology Life Quality Index (CDLQI).
Results:
In our study, the skin disease with the greatest impact on quality of life was atopic dermatitis, chiefly on account of symptoms like pruritus and insomnia. It was followed by acne, mainly due to the associated negative feelings (shame, sadness, etc.). Quality of life in patients with viral warts and molluscum contagiosum was mostly affected by the treatment, chiefly based on cryotherapy. Most patients with nevi or café-au-lait spots did not have a decreased quality of life, although up to one third of them had negative feelings in relation to their skin disease.
Discussion:
Atopic dermatitis was the common skin disease that caused the greatest impairment in quality of life in our sample, although other diseases also had an impact on different dimensions of quality of life. We ought to underscore the recommendation to use less painful treatments than cryotherapy for viral warts and molluscum contagiosum, as the impairment in quality of life in paediatric patients with these conditions was mainly due to the treatment.
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