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BACKGROUND: Acne Vulgaris is a frequently seen dermatological condition having physical and
psychosocial implications. Current study aims to assess Quality of life (QoL) in acne patients and study
the associated risk factors.
METHODOLOGY: This descriptive cross sectional study was conducted in 6 months duration at Dept. of
Dermatology, Rawal Institute of Health Sciences Islamabad after ethical approval. Total 205 cases of
acne (age>12 years) were included. Patients with severe systemic illness and endocrine disease were
excluded. Global Acne Grading Scale (GAGS) was used to grade acne as mild, moderate or severe.
Quality of life assessed by Cardiff Acne disability index (CADI) with outcome as no impairment, mild
impairment, moderate impairment or severe impairment. Data analyzed via SPSS version 17 with
Chi-square test applied for significance. The p-value <0.05 considered to be statistically significant.
RESULTS: Among 205 acne cases (24% males and 76% females), mean age was 25+5.7 (14-36) years. As
per GAGS score; mild acne was present in 45.4%, moderate acne(44%), severe acne (8.35%) and very
severe acne (2.4%). As per CADI score, there was no impairment in 7.3%, mild impairment (19.5%),
moderate impairment (61%) and severe impairment in (12%). The impaired QoL was found to be
associated with gender, socioeconomic class, education, acne grade, obesity and use of alternative
medicine (p<0.05).
CONCLUSION: Acne vulgaris significantly impairs QoL in adolescents to varying degrees. Higher grade
of acne, female gender, obesity, illiteracy and poverty are the proposed risk factors for impaired QoL in
acne cases. Early identification of acne cases at risk of impaired Qol may be helpful to take QoL
measures like counseling and psychological intervention in parallel with medical management. This may
improve the social and psychological wellbeing of acne cases.
Nadia Shams , Furquana Niaz, Sumayya Zeeshan, Sadaf Ahmed, Shazia Farhat, Naresh Kumar Seetlani. (2018) Cardiff Acne Disability Index based Quality of Life in Acne Patients, Risk Factors and Associations, Journal of Liaquat University of Medical and Health Sciences, Volume-17, Issue-1.
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