The Relationship Between the Severity of Vitiligo, Measured by the Vitiligo Area Scoring Index (VASI), and the Dermatology Life Quality Index (DLQI)
DOI:
https://doi.org/10.22225/wmj.10.1.11667.1-5Keywords:
Vitiligo, Quality of Life, VASIAbstract
Vitiligo is a pigmentation disorder characterized by hypopigmented macules resulting from the chronic and progressive loss of epidermal melanocyte function. This condition creates a stark contrast between depigmented and normal skin, which can be distressing for patients, particularly from a cosmetic perspective. Consequently, individuals with vitiligo often face stigmatization and psychosocial challenges, making them more susceptible to depression, anxiety, and stress. The treatment of vitiligo should also address its emotional impact, ultimately facilitating better adaptation to the disease and improving the patient's quality of life. This study aims to examine the relationship between vitiligo severity, measured using the Vitiligo Area Scoring Index (VASI), and the Dermatology Life Quality Index (DLQI). It employs an analytical cross-sectional approach involving vitiligo patients treated at Bali Mandara General Hospital. Primary data were collected through clinical assessments of VASI scores, followed by the completion of the validated and reliable DLQI questionnaire. The results indicate that the degree of depigmentation in vitiligo (VASI) has a strong impact on patients' quality of life (DLQI). Further research is needed to assess changes in DLQI after vitiligo patients undergo phototherapy or topical treatment, as well as to identify other factors beyond VASI that influence DLQI.
References
1. Passeron T, Ortonne J-P. Vitiligo and Other Skin Disorder of Hypopigmentation. In: Bolognia JL, Schaffer J V, Cerroni L, editors. Bolognia
Dermatology. 4th ed. Elsevier; 2017. p. 1087–95.
2. Ezzedine K, Harris JE. Vitiligo. In: Kang S, Amagai M, Buckner anna L, Enk AH, editors. Fitzpatrick’s Dermatology 9th Edition. 9th ed. MC; 2018. p. 1330–50.
3. Diotallevi F, Gioacchini H, De Simoni E, Marani A, Candelora M, Paolinelli M, et al. Vitiligo, from pathogenesis to therapeutic advances: State of the art. International Journal of Molecular Sciences. 2023;24(5):4910
4. Data Register Poliklinik Kulit dan Kelamin RSU Bali Mandara tahun 2021-2022.
5. Gupta M. Childhood vitiligo: A clinicoepidemiological study. Indian Journal of Paediatric Dermatology. 2018;19(3):212.
6. Kanwar AJ, Kumaran MS. Childhood vitiligo: Treatment paradigms. Indian Journal of Dermatology. 2012;57(6):466.
7. Mogawer RM, Mostafa WZ, Elmasry MF. Comparative analysis of the body surface area calculation method used in Vitiligo extent score vs the hand unit method used in Vitiligo Area Severity Index. Journal of Cosmetic Dermatology. 2020;19(10):2679–83.
8. Alghamdi KM, Kumar A, Taieb A, Ezzedine K. Assessment methods for the evaluation of vitiligo. J Eur Acad Dermatology Venereol. 2012; 26 (12): 1463-71.
9. Ezzedine K, Eleftheriadou V, Jones H, Bibeau K, Kuo FI, Sturm D, et al. Psychosocial effects of vitiligo: A systematic literature review. American Journal of Clinical Dermatology. 2021;22(6):757–74.
10. Arifin Saiboo A, Indramaya DM, Hidayati AN, Damayanti, rahmadewi, Utomo B, Eliza F, Cita Rosita Sigit Prakoeswa. Characteristics and Clinical Profile of Vitiligo Patients in Dermatology and Venereology Outpatient Clinic Unit at Dr. Soetomo General Academic Hospital Surabaya. BIKK [Internet]. 2023 Mar. 31 [cited 2024 Feb. 20];35(1):1-5. Available from: https://e journal.unair.ac.id/BIKK/article/view/37635
11. Ennesta Asri, Puridelko Kampar, et al. Hubungan Vitiligo Area Scoring Index (Vasi) dengan Dermatology Life Quality Index (Dlqi) pada Pasien Vitiligo di RSUP Dr. M. Djamil Padang Periode 2015-2016. Jurnal Kesehatan Andalas. 2019;8(3).
12. Solak B, Dikicier BS, Cosansu NC, Erdem T. Effects of age of onset on disease characteristics in non-segmental vitiligo. Int J Dermatol. 2017;56(3):341-5.
13. Mishra N, Rastogi MK, Gahalaut P, Agrawal S. Dermatology specific quality of life in vitiligo patients and its relation with various variables: A hospital based crosssectional study. J Clin Diagnostic Res. 2014;8(6):18-21.
14. Radtke MA, Schafer I, Gajur A, Langenbruch A, Augustin M. Willingness-to-pay and quality of life in patients with vitiligo. Br J Dermatol. 2009; 161 (1): 134-9.
