Attended the conference of the European Society of Dermatology and Psychiatry(ESDAP2015), at St Petersburg Russia from June 25 to 27 2015 Poster presented at the ESDAP2015, on `A study of stress in patients with acne excoriee, lichen and macular amyloidosis and lichen planus
Dr Ram H Malkani, by virtue of
his 37 years expeience and understanding of Dermatology
diseases,has been taking lectures for three groups of Family
physicians, to familiarise them and train them to diagnose
routine skin diseases seen in the practise.
Lectures titled `Continued
Professional Development Series`
AN APPROACH TO
THE DIAGNOSIS OF SKIN DISEASES
BY
DR. RAM H. MALKANI
M.D.(skin) DVD.DDV.FAAD
(www.drmalkani.com)
1. Basic Anatomy,Physiology,Morphology,Nomenclature
of Skin,a part I of the Approach to the diagnosis of skin
diseases
2. Basic Anatomy,Physiology,Morphology,Nomenclature,a part
of an Approach to the diagnosis of skin diseases,PartII
3. Pigmentation
4. Urticaria and Angioedema
5. Fungal infections`
6. Hormonal treatment of Acne
7. Hair Loss`,
8. Realistic expectations in Psoriasis and Biologics`
9. Pruritus,itch,neurotransmitters and psychoneuroimmunology`
10. Oculocutaneous Diseases
11. Psychocutaneous Diseases-classification
12. Psychocutaneous Diseases-specific
13. Skin and systemic diseases-in two parts
14. Drug eruptions
15. HIV
16. Leprosy
17. STD
Lectures are
on for Family Physicians in groups at
The Al Amal Medical Clinic, Muscat, Oman
The Breach Candy Hospital trust auditorium
GPA Ofice at Lalbaug, Mumbai
Sion Clinic of Dr Skinemd
|
A study of stress in patients with acne excoriée, lichen and
macular amyloidosis, and lichen planus
Objectives:
The present study was conducted to compare stress scores and types of reported stress in three dermatological conditions (acne excoriée, lichen and macular amyloidosis, and lichen planus) and those without any dermatological condition.
Methods:
We assessed stress by Gurmeet Singh’s Presumptive Stressful Life Events Scale (by a psychiatrist) in 20 cases of each condition each of acne excoriée, lichen and macular amyloidosis, and lichen planus, and 20 controls.
We collected demographic data and stressors in all participants, and clinical data in 60 cases.
We used multivariate linear regression models to study the factors associated with stress scores.
Results:
The mean age (standard deviation [SD]) in acne excoriée, lichen and macular amyloidosis, lichen planus, and controls were 25.2 [5.5], 39.4 [12.7], 35.7 [14.1], and 38.5 [11.6] years respectively (p<0.001).
The common stressful events were financial problems (51%), family problems (40%), marital conflicts (36%) and death (32%).
Stressful life events were significantly more commonly reported by cases compared with controls (88% vs 8%, p<0.001).
The Median (Interquartile range [IQR]) stress scores were highest in patients with lichen and macular amyloidosis (230 [210, 284.5]), followed by acne excoriée (189 [130, 234.5]), lichen planus (154 [105, 200.5]), and controls (0 [0, 65]); the differences were statistically significant (p<0.0001).
In the adjusted models, the mean stress scores were significantly higher in patients presenting with lichen and macular amyloidosis (201.4, 95% confidence intervals [CI]: 157.1, 245.6; p=0.001), acne excoriée (156.4, 95% CI: 107.4, 205.5; p<0.001), and lichen planus (128.5, 95% CI: 84.2, 172.7) compared with controls.
Financial stress was reported by 70% of acne excoriée, 65% of lichen and macular amyloidosis, 50% of lichen planus cases, and by 20% controls (p=0.007). Marital conflicts were reported by 60% of lichen and macular amyloidosis, 45% of acne excoriée, 30% of lichen planus cases, and by 10% controls (p=0.007). Similarly, family conflicts were reported by 70% of lichen and macular amyloidosis, 50% lichen planus, 40% of acne excoriée cases, and none of the controls (p<0.001).
Conclusions:
Stressful life events were more commonly reported by cases compared with controls. Stress scores were highest in lichen and macular amyloidosis, and acne excoriée patients.
These dermatological diagnoses were associated with different types of stressful events in life. |
