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Psoriatic lesions on back of hand tied to higher stigmatization levels

30 Mar 2017

Stigmatization is likely among patients with psoriatic lesions on the back of their hands. They require effective treatment, particularly female patients as they are more sensitive to stigmatization, suggests a recent study.

To determine whether the involvement of visible and sensitive areas is associated with stigmatization, researchers assessed 115 patients with psoriasis vulgaris for disease severity, skin lesions distribution, itch and stigmatization using the Feelings of Stigmatization Questionnaire. Dermatology Life Quality and the World Health Organization Quality of Life-BREF were used to evaluate quality of life.

There were greater stigmatization levels (p=0.011, total score of the Feelings of Stigmatization Questionnaire) associated with the localization of psoriatic lesions on the back of hands, but not the involvement of nails, the palms, the face, or the genital area nor overall disease severity.

Regardless of the localization of lesions and type of psoriasis, some level of stigmatization was reported by all patients. Women (p=0.001), the unemployed (p=0.004) and those who claimed not to be able to hide their lesions by clothing (p=0.025) had higher levels of stigmatization.

Moreover, the strongest predictor of quality of life impairment was stigmatization, according to researchers, adding that the study was limited by the inclusion of only hospitalized patients.

Stigmatization refers to experiencing a discrediting mark that leads to social discrimination and alienation. According to the Feelings of Stigmatization Questionnaire, the major aspects of stigmatization are anticipation of rejection and feelings of guilt and shame, the levels of which are significantly associated with pruritus intensity, stress prior to exacerbation, depressive symptoms and quality of life. [Acta Derm Venereol 2012;92:67-72]

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Most Read Articles
Pearl Toh, 10 Oct 2019
Adding a LAMA* to the double combination therapy of ICS** plus LABA*** in a single inhaler improves lung function and reduces exacerbations in patients whose asthma is inadequately controlled with the combination treatment, according to the TRIMARAN and TRIGGER# studies presented at ERS 2019.
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Eating alone may help in weight management as findings of a recent study suggest that eating with friends lead to higher food intake.
Tristan Manalac, 3 days ago
A digital-first approach, iConnect, allows patients to have greater access to services and guidance and enables healthcare providers to deliver much better postdischarge care, according to Lim Cher Wee, chief operating officer of the Ministry of Health, Office for Healthcare Transformation of Singapore, in his presentation at the recently concluded AsiaPac19 Conference & Exhibition of the Healthcare Information and Management Systems Society (HIMSS 2019).
Jairia Dela Cruz, 3 days ago
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