A study of psychological impact of acne vulgaris on quality of life using CADI & DLQI scoring in patients attending dermatology OPD in tertiary care hospital

Abstract

Acne Vulgaris is a chronic inflammatory disease with multifactorial etiology. It is one of the leading reasons for visiting a dermatologist. Acne patients undergo considerable amount of psychological impairment as face is socially and psychologically the most important body region. There is no sufficient data available on the Impact of acne on QoL in Indian patients.To Determine the Impact of Acne Vulgaris on Quality of Life using two different scoring systemsi.e.CADI & DLQIIt is a hospital based cross sectional study done at dermatology Opd in tertiary care. It is a one year study from January 2016 to December 2016. 500 diagnosed cases of acne Vulgaris of the age groups 15-30 were studied. Informed written consent and Photographs was obtained from all patients. A complete history, clinical examination, was done in all patients. A baseline ‘global acne grading system’ was being performed. Quality of life in acne vulagaris patients were studied using pre- structured questionnaire of DLQI (Dermatological life quality index) & CADI (Cardiff acne disability index scoring systems).Based on GAGS, 80% of the patients were mild, 19% moderate and remaining 1% had severe grading of acne. Majority of the patients had very large effect on quality of life (76%) on DLQI scoring and medium impact in quality of life (86%. 12.4%) on CADI scoring.The results of the study show that majority had medium & large effect on QoL. Hence the disability caused by acne must be taken into account when individualizing treatment by health professionals and include QoL measurements to provide better care.