Quality of Life in Melasma
Melasma is an acquired disorder of hyperpigmentation that affects millions of people worldwide. Severity is affected by seasonal changes. Long-term treatments needed for the condition are costly yet may prove only moderate results. As a result, melasma may be distressing for patients.
During the last few years, a number of quality of life measures have been used in order to assess the way that melasma influences patient’s everyday life. These include both disease-specific instruments, such as the Melasma Quality of Life (MELASQoL) scale, and non-disease-specific instruments, such as the Dermatology Life Quality Index (DLQI) and Skindex questionnaires.
Results from various studies were concordant in the fact that melasma is associated with decreased quality of life and that it exerts influence on specific aspects of everyday living.
Interestingly, the effects of melasma in quality of life may not reflect the actual severity of the condition. Given the fact that melasma lacks physical symptoms such as pruritus, pain, or scaling, it is important to assess the emotional burden associated with its presence.
Understanding the psychosocial concerns of patients may lead to improved compliance, based on realistic expectations and on treatment affordability. In addition, assessing patient quality of life during and after treatment may also be used as an indication for treatment efficacy.
KeywordsMelasma QoL DLQI MELASQoL Skindex
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