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Psychosocial Impact and Quality of Life among Adult Egyptian Patients with Psoriasis

Ali Rezaei-Matehkolaei*
Department of Medical Mycology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Corresponding Author : Ali Rezaei-Matehkolaei
Department of Medical Mycology
School of Medicine, Ahvaz Jundishapur University of Medical Sciences
Ahvaz, IR, Iran
Tel: +98 611 3330074
E-mail: [email protected]
Received: September 30, 2015; Accepted: November 23, 2015; Published: November 26, 2015
Citation: Rezaei-Matehkolaei A (2015) Dermatophytosis Due to Trichophyton verrucosum and T mentagrophytes. Dermatol Case Rep 1:101. doi:10.4172/DMCR.1000101
Copyright: © 2015 Rezaei-Matehkolaei A. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

1.1 Background: Psoriasis is common, chronic disease of the skin. The disease has psychosocial impact and associated with impairments in quality of life (QOL).

1.2 Aim of the study: It was to define the psychosocial impact of psoriasis and to determine QOL of the psoriasis patients.

1.3 Patients and methods: This study was conducted on 100 adult patients with psoriasis, attending Dermatology Clinic, Al-Hussein University Hospital and an equal number of normal adults as controls. An analytic, case-control, clinic based study design was selected to conduct this research. An interviewing form and Middle Sex Hospital Questionnaire were used to survey psychosocial impact of the disease and psychiatric symptoms. Dermatology life quality index was used to assess disease impact on the patients’ QOL.

1.4 Results: The most common statistically significant impact was the interference with daily activities (59.0%). This was higher in patients with severe disease (96.2%) and with disease affected visible areas of the body (70.6%). The depression was the commonest psychiatric symptom (27.0%); 46.2% and 35.3% in patients with severe disease and with disease affected visible areas of the body, respectively. QOL was poor in 73.0% of the patients; the most common affected QOL mean domains scores were symptoms and feelings (15.8 ± 5.4), personal relationships (14.6 ± 5.2), and daily activities (14.4 ± 4.9). All QOL mean domain scores were statistically significantly higher in patients with disease affected visible areas of the body and with severe disease.

1.5 Conclusions and recommendations: Psoriasis has a great effect on the patients’ QOL. It disrupting psychosocial aspects and interfering with symptoms and feelings, daily activities, etc. The highest mean domain was symptoms and feelings (15.8) and the lowest mean was treatment (13.6). It could be recommended that more researches should be carried out on big number of patients in Egypt and on different clinical types to understand the impact of this disease.

Letter to the Editor
Here, I wish to comment that the taxonomy xof dermatophytes has recently been revolutionized and a new taxonomy was internationally established [1]. Indeed, to update the mycologic data in all aspects of dermatophytosis the new taxa should be considered. Our recent sequencebased investigations in Iran [2,3] and some unpublished data obviously indicate that currently most of the strains morphologically identified as T. verrucosum are, in fact, T. verrucosum var. autotrophicum (Figure 1) which recently regarded to be conspecific with T. interdigitale [1]. Additionally, almost all entities phenotypically quoted as T. mentagrophytes are actually the old taxa of T. mentagrophytes var. mentagrophytes or var. granulosum which currently synonymized with T. interdigitale species [1,4]. Likewise, according to the biological and molecular findings, today it is known that T. mentagrophytes sp. is synonymous only with the zoophilic variants and species formerly recognized as T. mentagrophytes var. quinckeanum, T. langeronii and T. sarkisovii. Regarding to the issues under comments, the actual prevalence of T. verrucosum, T. mentagrophytes and T. interdigitale species in many recently published studies is questionable. To realize any change in the distribution pattern of dermatophytes, DNA-based procedures and new classification must be considered.
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