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Clinical pattern, associated factors and impact of disease on quality of life among individuals with melasma visiting the dermatology clinic at Teaching Hospital Karapitiya

Authors:

C. G. Wanniarachchi ,

Teaching Hospital Karapitiya, LK
About C. G.
Dermatology Unit
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B. K. S. Wijenayaka

Teaching Hospital Karapitiya, LK
About B. K. S.
Dermatology Unit
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Abstract

Introduction: Melasma is an acquired form of hypermelanosis that results in symmetrical, brownish pigmentation commonly on the face. This study was aimed to assess its clinical pattern, associated factors and impact of melasma on quality of life.

 

Methods: A clinic-based descriptive cross-sectional study was conducted recruiting all individuals with melasma, attended to the dermatology clinic of Teaching Hospital Karapitiya for seven months. Both a selfreported questionnaire and an interviewer-administered data record sheet were used for data collection.

 

Results: There were 172 individuals with melasma. Dominated by females (n=168, 97.7%) and 52.3% (n=90) were with Fitzpatrick type V skin. The mean age of onset was 47.2 years and the predominant pattern was malar pattern (58.1%). Most common associated factor was sun exposure (n=76, 44.7%), followed by, menstrual irregularities (20.5%), hormonal treatment (19.4%), family history (19.8%) and pregnancy (10.4%). Though 65.1% reported exposure to sun more than two hours in the midday, only 31.4% (n=54) used a sun protection method and sunscreens were used by only 4.65%, The mean MASI (Melasma Area and Severity Index) score was 12.7, with a range of 1.5 to 30.9. There were statistically significant correlations with family history, duration of sun exposure and the use of facial cosmetics (p<0.05). Mean Melasma Quality of Life Score (MELASQOL) was 28.86, but there was no significant correlation between MASI score and MELASQOL (Pearson correlation = 0.548, p>0.05).

 

Conclusions: Melasma starts at an older age in our study population. It causes a significant negative effect on psychosocial aspects of quality of life though not related to severity, suggesting that treatment decisions shouldnot depend on severity. Appropriate usage of cosmetics and sunscreens must be advised.
How to Cite: Wanniarachchi, C.G. and Wijenayaka, B.K.S., 2020. Clinical pattern, associated factors and impact of disease on quality of life among individuals with melasma visiting the dermatology clinic at Teaching Hospital Karapitiya. Galle Medical Journal, 25(3), pp.81–90. DOI: http://doi.org/10.4038/gmj.v25i3.8037
Published on 02 Nov 2020.
Peer Reviewed

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