Background Prurigo is defined by the presence of chronic pruritus and multiple localized or generalized pruriginouslesions.Objective The aim of this study was to assess the psychological burden of... Show moreBackground Prurigo is defined by the presence of chronic pruritus and multiple localized or generalized pruriginouslesions.Objective The aim of this study was to assess the psychological burden of prurigo in patients of European countries.Methods In this multicentre European study, 3635 general dermatology outpatients and 1359 controls were included.Socio-demographic data and answers to questionnaires (regarding quality of life, general health, anxiety and depressionand suicidal ideation) were collected.Results There were 27 patients with prurigo; of these, 63% were men, and the mean age was 58.6 years. Amongpatients with prurigo, 10 of 27 (37%) suffered from anxiety and 8 of 27 (29%) from depression. Suicidal ideation wasreported in 5 of 27 (19%) patients, and for four of these five patients, suicidal ideation was related to their skin disease.These frequencies were higher in the 10 commonest dermatological diseases (including psoriasis, atopic dermatitis andleg ulcers). The impact on quality of life was severe, with a mean Dermatologic Life Quality Index (DLQI) of 12.4, with anextreme impact on quality of life for 23% of patients and a very large impact for 27% of patients.Conclusion The psychological comorbidities of prurigo are common, greater than those of other skin diseases, andtheir impact on quality of life is significant. Thus, it is important to study this condition and to find new treatments. Show less
Background Prurigo is defined by the presence of chronic pruritus and multiple localized or generalized pruriginous lesions. Objective The aim of this study was to assess the psychological burden... Show moreBackground Prurigo is defined by the presence of chronic pruritus and multiple localized or generalized pruriginous lesions. Objective The aim of this study was to assess the psychological burden of prurigo in patients of European countries. Methods In this multicentre European study, 3635 general dermatology outpatients and 1359 controls were included. Socio‐demographic data and answers to questionnaires (regarding quality of life, general health, anxiety and depression and suicidal ideation) were collected. Results There were 27 patients with prurigo; of these, 63% were men, and the mean age was 58.6 years. Among patients with prurigo, 10 of 27 (37%) suffered from anxiety and 8 of 27 (29%) from depression. Suicidal ideation was reported in 5 of 27 (19%) patients, and for four of these five patients, suicidal ideation was related to their skin disease. These frequencies were higher in the 10 commonest dermatological diseases (including psoriasis, atopic dermatitis and leg ulcers). The impact on quality of life was severe, with a mean Dermatologic Life Quality Index (DLQI) of 12.4, with an extreme impact on quality of life for 23% of patients and a very large impact for 27% of patients. Conclusion The psychological comorbidities of prurigo are common, greater than those of other skin diseases, and their impact on quality of life is significant. Thus, it is important to study this condition and to find new treatments. Show less
Skin conditions may have a strong impact on patients’ sexual life, and thus influence personal relationships. Sexual issues are difficult to discuss directly in clinical practice, and a mediated... Show moreSkin conditions may have a strong impact on patients’ sexual life, and thus influence personal relationships. Sexual issues are difficult to discuss directly in clinical practice, and a mediated instrument may be useful to capture such information. In this study item 9 of the Dermatology Life Quality Index was used to collect information on sexual impact of several skin conditions in 13 European countries. Among 3,485 patients, 23.1% reported sexual problems. The impairment was particularly high in patients with hidradenitis suppurativa, prurigo, blistering disorders, psoriasis, urticaria, eczema, infections of the skin, or pruritus. Sexual impact was strongly associated with depression, anxiety, and suicidal ideation. It was generally more frequent in younger patients and was positively correlated with clinical severity and itch. It is important to address the issue of sexual well-being in the evaluation of patients with skin conditions, since it is often linked to anxiety, depression, and even suicidal ideation. Show less
