Turkiye Klinikleri Journal of Dermatology

.: ORIGINAL RESEARCH
Evaluation of Demographic Features, Clinical Characteristics and Quality of Life in Melasma Patients as Compared to the Control Group
Melazma Hastalarında Demografik Özellikler, Klinik Karakterler ve Yaşam Kalitesinin Kontrol Grubuna Göre Değerlendirilmesi
Zeynep Büşra BALIKa, Ahmet Rıfat BALIKb, Selcen YÜKSELc, Nermin KARAOSMANOĞLUd, Hatice Meral EKŞİOĞLUd
aDepartment of Dermatology, University of Health Sciences Gülhane Training and Research Hospital, Ankara, TURKEY
bMedical Biochemistry Laboratory, University of Health Sciences Gülhane Training and Research Hospital, Ankara, TURKEY
cDepartment of Biostatistics, Ankara Yıldırım Beyazıt University Faculty of Medicine, Ankara, TURKEY
dDepartment of Dermatology, University of Health Sciences Ankara Training and Research Hospital, Ankara, TURKEY
Turkiye Klinikleri J Dermatol. 2020;30(3):81-7
doi: 10.5336/dermato.2020-78570
Article Language: EN
Full Text
ABSTRACT
 Objective: Melasma has been shown to have a significant emotional and psychologic impact on affected patients. We aimed to investigate the demographic features and clinical characteristics of melasma patients and the effect of the disease on the quality of life. Material and Methods: Medical records of 80 melasma patients who presented to outpatient clinic and 80 adult patients without facial dermatosis but had skin disease as control group were reviewed. Dermatological Quality of Life Index (DLQI) was filled out in the form of a questionnaire and the quality of life of both groups was measured. Results: A significant difference was found between the patient and control groups in marital status, income level and drug use due to additional systemic disease. Median DLQI score was 4.00 in the patient group; while median DLQI score was 5.50 in the control group. Patients who received previous treatment for melasma or other dermatological diagnoses had higher DLQI scores than patients who did not receive such treatment. Conclusion: The lower the education level, the higher the rate of melasma may be due to the lack of knowledge about sun protection. The epidermal type melasma was detected the most. In the present study, it was found that the negative effects of melasma on the quality of life of the patients were less than control group. In the control group, the negative effects of other skin diseases on the dermatological quality of life were much stronger than the effects on patient group.

Keywords: Melasma; life quality; epidemiologic factors
ÖZET
 Amaç: Melazmanın etkilenen hastalar üzerinde önemli bir duygusal ve psikolojik etkisi olduğu gösterilmiştir. Melazma hastalarının demografik yapısını, klinik özelliklerini ve hastalığın yaşam kalitesine olan etkisini araştırmayı amaçladık. Gereç ve Yöntemler: Dermatoloji polikliniğine başvuran melazma tanısı olan 80 ve kontrol grubu olarak fasiyal dermatozu olmayan fakat deri hastalığı olan 80 erişkin hastaların tibbi kayıtları incelenmiştir. Hastalara Dermatolojik Yaşam Kalite İndeksi (DYKİ) anket şeklinde doldurtularak her iki grubun yaşam kalitesi ölçülmüştür. Bulgular: Hasta ve kontrol grupları arasında medeni durum, gelir düzeyi ve ek sistemik hastalığa bağlı ilaç kullanımında anlamlı farklılık bulundu. Hasta grubunda DYKİ skoru ortanca değeri 4.00 iken kontrol grubunda DYKİ skoru ortanca değeri 5.50 idi. Melazma veya diğer dermatolojik tanılar için öncesinde tedavi alan hastalarda ise DYKİ skoru almayanlara göre daha yüksekti. Sonuç: Eğitim düzeyi düşükçe melazma oranının artması, güneşten korunma konusundaki bilgi eksikliği kaynaklı olabilir. En sık epidermal tip melazma tespit edilmiştir. Bu çalışmada, melazmanın hastaların yaşam kalitesine olumsuz etkilerinin seçilen kontrol grubuna göre daha az olduğu görüldü. Kontrol grubunda, diğer cilt hastalıklarının dermatolojik yaşam kalitesi üzerindeki olumsuz etkileri hasta grubuna göre çok daha güçlüdür.

Anahtar Kelimeler: Melazma; yaşam kalitesi; epidemiyolojik etkenler
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