Clinical study of Profile of Adolescent Dermatoses and their Effect on Quality Of Life in Adolescents: Prospective Observational study in a Tertiary Care Hospital in South India

Aravind Baskar, M (2020) Clinical study of Profile of Adolescent Dermatoses and their Effect on Quality Of Life in Adolescents: Prospective Observational study in a Tertiary Care Hospital in South India. Masters thesis, Tirunelveli Medical College, Tirunelveli.


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INTRODUCTION: The adolescent period is considered very critical, as many skin diseases which presented first during childhood begin to exert most damaging effects after the onset of puberty and many diseases manifest first during adolescent period. The diseases in adolescents may appear trivial but may have huge impact on quality of life and hence measuring quality of life in them is very important. AIMS & OBJECTIVES: 1. To study the patterns of skin diseases among adolescents visiting dermatology OPD and adolescent clinic in pediatric OPD. 2. To assess the effect of skin diseases on quality of life of adolescents in age group 16 – 19 years. 3. To study prevalence of steroid abuse in adolescents. METHODOLOGY: Our study was a prospective observational study in which we recruited 358 adolescents (10-19 years) who attended Dermatology OPD and Adolescent clinic in Paediatric OPD, TVMCH between January 2018 and December 2018. They were examined to identify the patterns of dermatoses, history of steroid abuse was enquired and Dermatology Life Quality Index (DLQI) questionnaire was given to them to assess the effect on quality of life. RESULTS: The prevalence of adolescent dermatoses in our hospital was 2.3%, most of the patients belonging to the late adolescent age group (56.4%) with male to female ratio of 1.3:1. Infections were the most common found in 39.1% of cases, followed by infestations (16.2%), appendageal disorders (13.1%), dermatitis (8.1%), papulosquamous disorders(3.9%), keratinisation disorders (3.9 %), urticaria (2.7%) and other miscellaneous diseases. Most of the patients (29.6%) took self-medication (over the counter) prior to presentation while 21.8% patients took native treatment and only 12.5% consulted Dermatologists. Around 13.6% of adolescents had history of inappropriate use of topical steroids with most common indication being dermatophytosis (61.2%) followed by skin lightening (16.3%). Quality of life was affected in 84.6% of adolescents with most of them (37.43%) having small effect of their diseases on quality of life. The most common domain affected was “symptoms and feelings” in 82.4% of patients. The diseases with the high mean DLQI scores were hyperhidrosis followed by dermatophytosis, scabies, pediculosis, pyoderma, acne, tuberous sclerosis, seborrheic dermatitis, psoriasis, ichthyosis, neurofibromatosis, urticaria, prurigo simplex, vitiligo, herpes simplex infections. CONCLUSION: Our study reported higher prevalence of infections which can be prevented by proper hygiene practices and sanitation. In spite of activities of IADVL’s taskforce against topical steroid abuse, still there is high prevalence of topical steroid abuse among adolescents and though government is keen on improving speciality services, many still use over the counter medications. We observed that though the skin diseases may appear trivial the magnitude caused by them is huge. Hence more studies on quality of life are needed in future.

Item Type: Thesis (Masters)
Additional Information: 201730251
Uncontrolled Keywords: Adolescent dermatoses, adolescence, quality of life, infections, acne, psychodermatology.
Subjects: MEDICAL > Dermatology Venereology and Leprosy
Depositing User: Subramani R
Date Deposited: 05 Feb 2021 03:10
Last Modified: 05 Feb 2021 14:40

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