دورية أكاديمية

Management Outcomes of Hand Dermatitis in a Tertiary Hospital in Southwest Nigeria.

التفاصيل البيبلوغرافية
العنوان: Management Outcomes of Hand Dermatitis in a Tertiary Hospital in Southwest Nigeria.
المؤلفون: Otrofanowei E; Department of Medicine, College of Medicine University of Lagos/ Lagos University Teaching Hospital, Ikoyi, Lagos, Nigeria., Ayanlowo OO; Department of Medicine, College of Medicine University of Lagos/ Lagos University Teaching Hospital, Ikoyi, Lagos, Nigeria., Akinkugbe AO; Department of Medicine, College of Medicine University of Lagos/ Lagos University Teaching Hospital, Ikoyi, Lagos, Nigeria., Oresanya FA; Kyutis Clinic, Ikoyi, Lagos, Nigeria.
المصدر: Nigerian journal of clinical practice [Niger J Clin Pract] 2023 Nov 01; Vol. 26 (11), pp. 1734-1741. Date of Electronic Publication: 2023 Dec 04.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Medknow Publications Country of Publication: India NLM ID: 101150032 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1119-3077 (Print) NLM ISO Abbreviation: Niger J Clin Pract Subsets: MEDLINE
أسماء مطبوعة: Publication: Mumbai : Medknow Publications
Original Publication: [Lagos?] : Medical and Dental Consultants' Association of Nigeria
مواضيع طبية MeSH: Quality of Life* , Dermatitis*, Humans ; Adult ; Tertiary Care Centers ; Cross-Sectional Studies ; Nigeria ; Severity of Illness Index
مستخلص: Background: Hand dermatitis (HD) is inflammation of the skin of the hands. It ranges in severity and has a significant impact on quality of life (QoL). The physical and psychosocial burden of the disease is comparable with psoriasis in impairment of the QoL of the patient and depression. Quality of life correlates with disease severity.
Aim: To evaluate the management outcome of HD with a disease severity tool by the physician and quality of life index.
Materials and Methods: This was a cross-sectional study of a cohort of patients with HD over 24 weeks in the dermatology clinic of a tertiary hospital in Nigeria. Disease severity and quality of life were measured using the physician global assessment (PGA) and dermatology life quality index (DLQI), respectively. These were re-administered 6 weeks after treatment. Results were collated and analyzed.
Results: One hundred and seventy-seven (13.3%) of 1,329 patients had HD with F/M ratio of 1.2: 1; a mean age of 34.6 ± 7.4 years. Comparing PGA scores at baseline and 6 weeks, a statistically significant improvement was noted P < 0.001. The mean DLQI score at baseline was 10.38 and reduced to 3.02 post-treatment. The difference between the two means of the DLQI was ≥5 from baseline signifying improved quality of life. The domain of symptoms and feelings was the most affected at baseline and most improved afterward.
Conclusion: HD has a significant impact on its sufferers and this correlates with disease severity. Appropriate management improves disease outcome and patients' quality of life.
(Copyright © 2023 Copyright: © 2023 Nigerian Journal of Clinical Practice.)
References: World Health Organization. (2006). Constitution of the World Health Organization – Basic Documents, Forty-fifth edition, Supplement, October 2006. https://www.who.int/about/governance/constitution.
. Study protocol for the World Health Organization project to develop a quality of life assessment instrument (WHOQOL). Qual Life Res 1993;2:153–9.
Puente A, Alvarado JM, Herrera V. Finger spelling and sign language as alternative codes for reading and writing words for Chilean deaf signers. Am Ann Deaf 2006;151:299–310.
English J, Aldridge R, Gawkrodger DJ, Kownacki S, Statham B, White JM, et al. Consensus statement on the management of chronic hand eczema. Clin Exp Dermatol 2009;34:761–9.
Cvetkovski RS, Zachariae R, Jensen H, Olsen J, Johansen JD, Agner T. Quality of life and depression in a population of occupational hand eczema patients. Contact Dermatitis 2006;54:106–11.
Diepgen TL, Agner T, Aberer W, Berth-Jones J, Cambazard F, Elsner P, et al. Management of chronic hand eczema. Contact Dermatitis 2007;57:203–10.
Meding B, Järvholm B. Hand eczema in Swedish adults-changes in prevalence between 1983 and 1996. J Invest Dermatol 2002;118:719–23.
Okunoye OC, Okoli N, Asekomeh GE, Iyagba AM, Onwuchekwa AC. Case report of a 52-year-old hypertensive with cerebral toxoplasmosis as a stroke mimic. Nigerian Health Journal 2013;13:182–6.
Ogunbiyi AO, Daramola OO, Alese OO. Prevalence of skin diseases in Ibadan, Nigeria. Int J Dermatol 2004;43:31–6.
Olasode OA, Henshaw EB, Akpan NA, Agbulu RE. The pattern of dermatoses in a skin clinic in Calabar, Nigeria:A baseline study. Clinical Medicine Insights:Dermatology 2011;4:1–6.
Ayanlowo O, Olumide Y. Routine patch testing in a dermatology clinic of a teaching hospital in Nigeria. Nig Q J Hosp Med 2007;17:160–4.
Otrofanowei E, Ayanlowo OO, Akinkugbe A, Oresanya FA. Clinico-etiologic profile of hand dermatitis and patch response of patients at a tertiary hospital in Lagos, Nigeria:Results of a prospective observational study. Int J Dermatol 2018;57:149–55.
Evers AW, Lu Y, Duller P, van der Valk PG, Kraaimaat FW, van de Kerkhof PC. Common burden of chronic skin diseases?Contributors to psychological distress in adults with psoriasis and atopic dermatitis. Br J Dermatol 2005;152:1275–81.
Verhoeven EW, Kraaimaat FW, van Weel C, van de Kerkhof PC, Duller P, van der Valk PG, et al. Skin diseases in family medicine:Prevalence and health care use. Ann Fam Med 2008;6:349–54.
Cvetkovski RS, Rothman KJ, Olsen J, Mathiesen B, Iversen L, Johansen JD, et al. Relation between diagnoses on severity, sick leave and loss of job among patients with occupational hand eczema. Br J Dermatol 2005;152:93–8.
Elston DM, Ahmed DD, Watsky KL, Schwarzenberger K. Hand dermatitis. J Am Acad Dermatol 2002;47:291–9.
Menné T, Johansen JD, Sommerlund M, Veien NK Danish Contact Dermatitis Group. Hand eczema guidelines based on the Danish guidelines for the diagnosis and treatment of hand eczema. Contact Dermatitis 2011;65:3–12.
Coenraads PJ, Van Der Walle H, Thestrup-Pedersen K, Ruzicka T, Dreno B, De La Loge C, et al. Construction and validation of a photographic guide for assessing severity of chronic hand dermatitis. Br J Dermatol 2005;152:296–301.
English J. Alitretinoin for the treatment of chronic eczema of the hand.. Clinical Medicine Insights: Dermatology. 2011(4).
Kwon HI, Kim JE, Ko JY, Ro YS. Efficacy and safety of alitretinoin for chronic hand eczema in korean patients. Ann Dermatol 2016;28:364–70.
Held E, Skoet R, Johansen JD, Agner T. The hand eczema severity index (HECSI):A scoring system for clinical assessment of hand eczema. A study of inter- and intraobserver reliability. Br J Dermatol 2005;152:302–7.
Diepgen TL, Schmidt A, Berg A, Plinske W. Occupational retraining in employees suffering from occupational skin disease. Deutsches Arzteblatt 1996;93:31–40.
Finlay AY, Khan GK. Dermatology Life Quality index. 1992; www.dermatology.org.uk.
Skoet R, Zachariae R, Agner T. Contact dermatitis and quality of life:A structured review of the literature. Br J Dermatol 2003;149:452–6.
Morrone A, Bordignon V, Barnabas GA, Dassoni F, Latini O, Padovese V, et al. Clinical-epidemiological features of contact dermatitis in rural and urban communities in northern Ethiopia:Correlation with environmental or occupational exposure. Int J Dermatol 2014;53:975–80.
Bilcha KD, Ayele A, Shibeshi D, Lovell C. Patch testing and contact allergens in Ethiopia--results of 514 contact dermatitis patients using the European baseline series. Contact Dermatitis 2010;63:140–5.
Rani Z, Tufail F, Asad F, Khurshid K, Sarwar U, Pal S. Frequency of allergic contact dermatitis in patients with chronic eczema. Annals of King Edward Medical University 2010;16 (1 SI).
Hald M, Agner T, Blands J, Johansen JD. Quality of life in a population of patients with hand eczema:A six-month follow-up study. Acta Derm Venereol 2011;91:484–6.
Mbam KC, Halvorsen CJ, Okoye UO. Aging in Nigeria:A growing population of older adults requires the implementation of national aging policies. Gerontologist 2022;62:1243–50. doi:10.1093/geront/gnac121. (PMID: 10.1093/geront/gnac121)
Tanyi PL, Pelser A, Mbah P. “Care of the elderly in Nigeria:Implications for policy.”. Cogent Social Sciences 2018;4:1555201.
Lau MY, Matheson MC, Burgess JA, Dharmage SC, Nixon R. Disease severity and quality of life in a follow-up study of patients with occupational contact dermatitis. Contact Dermatitis 2011;65:138–45.
Finlay AY, Khan GK. Dermatology life quality index (DLQI)--a simple practical measure for routine clinical use. Clin Exp Dermatol 1994;19:210–6.
Bingefors K, Lindberg M, Isacson D. Quality of life, use of topical medications and socio-economic data in hand eczema:A Swedish nationwide survey. Acta Derm Venereol 2011;91:452–8.
Kadyk DL, McCarter K, Achen F, Belsito DV. Quality of life in patients with allergic contact dermatitis. J Am Acad Dermatol 2003;49:1037–48.
Cortesi PA, Scalone L, Belisari A, Bonamonte D, Cannavò SP, Cristaudo A, et al. Cost and quality of life in patients with severe chronic hand eczema refractory to standard therapy with topical potent corticosteroids. Contact Dermatitis 2014;70:158–68.
Coenraads PJ. Hand eczema is common and multifactorial. J Invest Dermatol 2007;127:1568–70.
Bissonnette R, Worm M, Gerlach B, Guenther L, Cambazard F, Ruzicka T, et al. Successful retreatment with alitretinoin in patients with relapsed chronic hand eczema. Br J Dermatol 2010;162:420–6.
تواريخ الأحداث: Date Created: 20231204 Date Completed: 20231205 Latest Revision: 20231205
رمز التحديث: 20231215
DOI: 10.4103/njcp.njcp_354_23
PMID: 38044781
قاعدة البيانات: MEDLINE
الوصف
تدمد:1119-3077
DOI:10.4103/njcp.njcp_354_23