ABSTRACT
Objective To determine the impact of psoriasis on quality of life [QoL] using Dermatology Life Quality Index [DLQI] in patients of psoriasis presenting in a tertiary care setting
Methods An observational study was carried out at Department of Dermatology, King Edward Medical University/ Mayo Hospital, Lahore from May 2013 till November 2013. A total of 200 patients compatible with inclusion criteria were enrolled after taking informed consent and were asked to fill DLQI questionnaires
Results Out of 200 patients, there were 107 males and 93 females. The mean age was 34.89+/-14.96 years while the mean DLQI score was 11.51+/-4.81. There were 58 [29 percent] married and 142 [71 percent] unmarried patients in the present study. Patients with moderate psoriasis were 184 with PASI score 40-60 and mean DLQI score 11.14+/-4.55 whereas 16 patients had severe psoriasis with PASI score 60-72 and mean DLQI score 15.8+/-5.68. The maximum mean DLQI score was highest for question 10 [treatment] followed by question 1 and 2 [symptoms and feelings]
Conclusion Psoriasis is a serious condition and is associated with significantly lower quality of life regardless of age, gender, duration and severity of disease or marital status
ABSTRACT
To describe the results of fronto-orbital advancement and remodelling for craniosynostosis in children. Case series. Department of Plastic Surgery, Combined Military Hospital, Rawalpindi, from June 2009 to June 2012. All the patients with cranial suture synostosis operated were included in the study. Those patients who were lost to follow-up were excluded. Variables considered were age, gender, type of synostosis, intracranial pressure, and history of previous surgeries for the same problem. Outcome measures were studied in terms of improvement of skull measurements [anteroposterior and bicoronal], duration of surgery, hospital stay, blood transfusions, complications and parents satisfaction. A total of 36 patients were included in the study. Male to female ratio was 3:1. The age ranged from 5 to 54 months. Thirty two patients presented with non-syndromic and four with syndromic craniosynostosis. Fronto orbital advancement and total calvarial remodelling was done in 26 and 10 patients respectively. There was improvement in the skull measurements and the parents were satisfied in all cases with the skull shape. Complications occurred in 11.1% including chest and wound infection and one death. Fronto-orbital advancement and remodelling is an effective procedure for the correction of craniosynostosis, however, individual cases may require other procedures like total calvarial remodelling