1. DR SHILPA SONI
DEPT OF SKIN & VD
MGMCH, JAIPUR.

2. INTRODUCTION
 Chronic skin diseases are among the most common
health problems worldwide and are associated with a
considerable burden and impact over the quality of life
of the person.[1].

3. Quality of life
 The term QOL is broad & is composed of various
domains like[2]
- physical well being,
- functional status,
- psychological well being,
- social functioning &
- health perceptions.

4. Burden on the family
 The burden of skin diseases is a multi dimensional
concept that encompasses[3]
 financial burden
 disturbed family routine
 effect on : family leisure, family interaction, physical health of
other family members
 effect on mental health of other members of the patient.

5.  Skin diseases are not usually life threatening, however it is
well known that the quality of patient's life is affected and
many factors including physiologic and psychological
factors contribute to this impairment.[4]
 Contact dermatitis is also one of dermatological condition
that hampers not only quality of individuals life but also is
a burden on the family.

6.  The impact of Contact Dermatitis (CD) is often
underestimated[5]
 Not life-threatening
 minor degrees of contact dermatitis are accepted as “part of
the daily life”.

7.  Being a chronic condition, Contact Dermatitis can
have profound effects on QOL and increase burden[5]
 Need to change occupation
 Take prolonged sick leave
 Limit leisure activities
 Reduced ability or inability to perform household chores
 Necessity to pursue time-consuming treatment

8. Aim
 Evaluate impact of Contact Dermatitis on QoL of
affected individual.
 Evaluate impact of Contact Dermatitis on burden on
family of affected individual.

9. Material and Methods
- The study was conducted at M.G.M.C.H., Jaipur over a
period of 6 months.
- Inclusion criteria:
 Patients with history of dermatits of more than 6 months.
 Patients of age group 18 – 60 years
 Patients with positive patch test

10.  Personal identification data and socio-demographic
data were collected from subjects by using WHOQOL-
BREF (Hindi version) questionnaire.
 ‘Burden on the Family scale’ was applied to find out
the burden on the subject’s family.

11. RESULTS AND DISCUSSION
 FGJJKBJHK
GENDER TOTAL PERCENTAGE
MALE 28 56%
FEMALE 22 44%
The male : female ratio = 1.3 : 1

12.  The majority of our patients belong to the middle-age
group i.e. 31 years to 50 years
Age group No. of patients %
20Y-30Y 11 22%
31Y-40Y 17 34%
41Y-50Y 17 34%
51Y-60Y 5 10%

13.  Maximum patients in our study are married (96%)
MARITAL STATUS
Married 48 96%
Unmarried 2 4%
Separated / widow 0 0%

14.  Majority of patients are literate.
EDUCATION
Illiterate 9 18%
UP TO 5th class 4 8%
5th – 10th 2 4%
10th -12th 8 16%
Graduate 27 54%

15.  Maximum population is working population
OCCUPATION
UNEMPLOYED 11 22%
SEMISKILLED 7 14%
FARMER 8 16%
STUDENTS 7 14%
SKILLED 9 18%
SERVICE 8 16%

16.  Most of the patients belong to middle-class families.
INCOME
UP TO 1000-5000 11 22%
5001-10000 20 40%
10001-20000 12 24%
MORE THAN 20000 7 14%

17. RESULT
 QOL Median = 19
QOL scores no. of patients %
Low QOL 17 34%
Average QOL 19 38%
High QOL 14 28%

18.  QOL is impaired in females as compared to males
QOL scores Total Male (28) Female(22)
Low QOL 17 7 (25%) 10 (45%)
Average QOL 19 12 (43%) 7 (32%)
High QOL 14 9 (32%) 5 (23%)

19.  The burden on the family is mild to moderate in most
of the patients.
BOF No. of patients
0-20 no/minimal 20 40%
21-40 mild – moderate 28 56%
41-60 moderate – sever 2 4%
> 60 severe 0 0%

20. DISCUSSION
 In our study of 50 patients of chronic contact dermatitis,
we found that QOL is average (19).
 Our data showed female with chronic dermatitis had
poorer quality of life than male patients did.
 (Marjan Anvar et. al Effect of Convenient Dermatologic
intervention on Quality of Life in Patients with Chronic
Eczematous Dermatitis Iranian Journal of Psychiatry and
Behavioral Sciences (IJPBS), Volume 4, Number 2, Autumn and
Winter 2010: 47-50
 Moreover, they showed significant impairment in their
daily activities.

21.  These results are in line with previous studies
supporting the gender difference in psychological
reactions to chronic skin disease(5,6).
 The main finding of this study is that a dual psycho-
dermatological treatment significance. In conclusion,
chronic contact dermatitis has significant effect on
quality of life.

22.  The burden on the family is mild – moderate & none
of the patient had severe.

23. REFERENCES
1. Mhd. KA Basra, Mhd. S, Expert Rev Pharmacoeconomics Outcomes
Res.2009
2. Kiebert G, Sorensen SV, Revicki D, Fagan SC, Doyle JJ, Cohen J,
Fivenson D. Atopic dermatitis is associated with a decrement in health-
related quality of life. Int J Dermatol 2002; 41(3): 151-8.
3. Chren MM, Weinstock MA. Conceptual issues in measuring the burden
of skin diseases. J. invest. Dermatol. Symp. Proc.9,97-100(2004)
4. Aberer E, Riedl A. Stigmatization. Consideration from a
theologicaldermatologic perspective Hautarzt 2004; 55(12): 1168-71.

24. 5. R. Skoet, R. Zachariae, and T. Agner, “Contact dermatitis and quality of
life: a structured review of the literature,” British Journal of
Dermatology, vol. 149, no. 3, pp. 452–456, 2003.
6. Borimnejad L, Parsa Yekta Z, Nikbakht-Nasrabadi A, Firooz A. Quality
of life with vitiligo: comparison of male and female Muslim patients in
Iran. Gend Med 2006; 3(2): 124-30.
7. Holm EA, Esmann S, Jemec GB. Does visible atopic dermatitis affects
quality of life more in women than in men? Gend Med 2004; 1(2):125-30

25. THANK YOU