Author(s): Taylor A, Pawaskar M, Taylor SL, Balkrishnan R, Feldman SR, Taylor A, Pawaskar M, Taylor SL, Balkrishnan R, Feldman SR
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Abstract BACKGROUND: Pigmentary disorders are commonly seen in dermatology practice and can have a negative psychosocial impact on patients. OBJECTIVE: This study aims to examine the prevalence of pigmentary disorders and their level of psychological and physical impact on patients. METHODS: A prospective cohort study involved a sample of 140 patients undergoing skin exams at a private dermatology practice in North Carolina. Patient demographics and pigmentary diagnoses were obtained, and participants were asked to fill out a skin discoloration impact evaluation questionnaire. Descriptive and frequency analyses were performed. RESULTS: Around 80\% of the participants were diagnosed with one or more pigmentary disorders. About 47.3\% of patients admitted of feeling self-conscious about their skin to some degree, 21.8\% felt others focused on their skin, 32.7\% felt unattractive because of their skin, 32.7\% put effort into hiding pigment changes, and 23.6\% felt their skin affected their activities. A limitation was the lack of diversity in the population studied (gender and skin type). CONCLUSIONS: Pigmentary disorders such as melasma, vitiligo, and lentigo pose significant negative impact on a person's health-related quality of life. Hence, there is a need for effective treatments of pigmentary disorders based on their prevalence and effect on quality of life. Healthcare providers should consider the impact of pigmentary disorders on health-related quality of life and educate patients on possible treatments.
This article was published in J Cosmet Dermatol
and referenced in Dermatology and Dermatologic Diseases