ABSTRACT
Background: Acne vulgaris affects about 85% of adolescents, often extending into adulthood. Though considered to be merely a cosmetic problem, it is associated with considerable psychological impairment, such patients are prone to low self-esteem, low self-confidence and social dysfunction which may lead to anxiety, depression, obsessive compulsiveness and sometimes suicidal ideation. AIM: This study was aimed to assess the impact of acne and its sequelae on the quality of life. Methods: The current cross sectional study was conducted in Patients diagnosed as acne vulgaris attending OPD of HIMSR in department of dermatology for a period of 6 months. Patients aged 15 years and above were included in our study. A detailed history was taken after obtaining consent from all the participants of study. Dermatology life quality index (DLQI) was administered on patients to determine the impact of acne vulgaris on their quality of life (QOL). Results: This study included 200 patients with females being more in number 130 (65%) as compared to male patients which were 70 in number (35%). The mean age was 20.49 with majority of patients being in 15-20 years of age group. Mean DLQI score was 8.22, statistically influenced by the age of the patient, duration and grade of acne, acne scar, and post acne hyperpigmentation. Conclusions: This study showed significant impairment of quality of life in acne patients. Counseling along with early treatment of acne vulgaris both are important as to reduce disease-related psychosocial sequelae and enhancing the efficacy of treatment.
ABSTRACT
Background: Vitiligo is defined as an acquired melanocytopenia of obscure aetiology and is characterized by circumscribed hypomelanosis and depigmentation of skin and hair which is often progressive. The aim of present study is to compare between 3 surgical modalities i.e. miniature punch grafting, thin split-skin thickness grafting and suction blister grafting and to experiment a novel method according to the site, size and location of the lesion and to study the extent of re-pigmentation after doing these procedures and comparison of the results in patients of stable vitiligo. We also aim to assess the complications and disadvantages of different surgical techniques. Methods: The study was conducted on total 60 vitiligo patients, who were divided into 3 groups of 20 each, in the age group of 15-60 years, attending Dermatology Department of Katihar Medical College in the span of 2 yearsResults. Results are comparable overall but vary considerably according to site of lesions. Punch grafting is very good for mobile areas like elbow, ankle and other joints; Thin – thiersch’s skin grafting gives better results for flat areas like trunk, thigh, arms and face while Suction blister grafting gives satisfactory results for lips vitiligo and also over small, oval lesions over flat sites. Conclusions: Thus, it can be finally concluded from this study that the surgical modality for treating a case of vitiligo cannot be generalized. Every patient should be evaluated individually according to anatomical site involved, size and shape of lesion, time required to achieve pigmentation, infrastructure available and patient’s preferences.