A clinco-epidemiological study and assessment of Life Quality Index among patients with lichen planus at a tertiary care centre in South India

Authors

  • Cinthana Palanichamy Sathianesan Department of Skin & STD, Vinayaka Mission’s Kirupananda Variyar Medical College & Hospital, Vinayaka Mission’s Research Foundation (Deemed to be University), Salem-636308, Tamilnadu, India
  • Seethalakshmi Ganga vellaisamy Dept. of skin and STDVinayaka missions kirupananda variyar medical college & hospital,Salem-636308Tamil naduIndia
  • Kannan Gopalan Department of Skin & STD, Vinayaka Mission’s KirupanandaVariyar Medical College & Hospital, Vinayaka Mission’s Research Foundation (Deemed to be University), Salem—636308, Tamilnadu, India

Abstract

Introduction Lichen planus [LP] is a papulosquamous disease which is prevalent all over the world. Although its not a fatal disease, it is having a considerable influence on the health related quality of life (QOL) but it remains under evaluated.   Objective The present study was conducted to study the clinico-epidemiological features and the effect of lichen planus on the QOL of patients in a tertiary care hospital.   Methods This was a cross sectional study, conducted between April 2018 – April 2019. A total of 84 patients with lichen planus of were included in the study. Quality of life was assessed by using dermatological life quality index (DLQI) questionnaire.   Results The 84 patients with LP formed 0.56% of the total number of new dermatology out patients. The male: female ratio was was1:0.95. The patient age ranged from 8 to 72 years, most being in the age range from 41-70 years (53.6%). The majority of the patients (50%) showed classical lesions followed by hypertrophic type(19%) next in frequency. Most patients (85.7%) had pruritus. Regarding Dermatological Life Quality Index (DLQI), most of the patients that is, 47 cases (56.0%) had moderate effect on quality of life, 28 (33.3%) had very large effect on quality of life and 9(10.7%) had small effect on quality of life.   Conclusion This study depicts that LP is having impact on the quality of life and its mainly attributed to the symptom (pruritus) and also the cosmetic disfigurement caused by these lesions on extremities.

Author Biographies

Cinthana Palanichamy Sathianesan, Department of Skin & STD, Vinayaka Mission’s Kirupananda Variyar Medical College & Hospital, Vinayaka Mission’s Research Foundation (Deemed to be University), Salem-636308, Tamilnadu, India

Postgraduate student  

Seethalakshmi Ganga vellaisamy, Dept. of skin and STDVinayaka missions kirupananda variyar medical college & hospital,Salem-636308Tamil naduIndia

Assistant professor

Kannan Gopalan, Department of Skin & STD, Vinayaka Mission’s KirupanandaVariyar Medical College & Hospital, Vinayaka Mission’s Research Foundation (Deemed to be University), Salem—636308, Tamilnadu, India

Professor  

References

Anbar TE, Barakat M, Ghannam SF. A clinical and epidemiological study of lichen planus among Egyptians of Al-Minya province. Dermatol Online J. 2005;11:4.

Abdallat SA, Maaita TJ. Epidemiological and clinical features of lichen planus in Jordanian patients. Pak J Med Sci. 2007;23(1):92-94.

Kachhawa D, Kachhawa V, Kalla G, Gupta L. A clinico-aetiological profile of 375 cases of lichen planus. Indian J Dermatol Venereol Leprol. 1995;61:276-9.

Ireddy SG, Udbalkar SG. Epidemiological Study of Lichen Planus. BMR Medicine. 2014;1(1); 1-9

Reich A, Heisig M, Phan NQ, Taneda K et al. Visual Analogue Scale: Evaluation of The Instrument for the assessment of pruritus. Acta Derm Venereol. 2012;92(5):497-501.

Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI) – A simple practical measure for routine clinical use. Clin Exp Dermatol. 1994;19:210-16.

Singh OP, Kanwar AJ. Lichen planus in India: an appraisal of 441 cases. Int J Dermatol. 1976;15:752.

Sehgal VN, Rege VL. Lichen planus: an appraisal of 147 cases. Ind J Dermatol Venereol. 1974;40:104.

Rohit Rampal, Sunil K. Gupta, Neena Sood et al. Clinical and histopathological spectrum of lichen planus. J Pak Assoc Dermatol. 2018;28(3):344-50.

Arora KS, Chhabra S, Saikia UN, Dogra S,Minz RW. Lichen planus: A clinical and immuno-histological analysis. Indian J Dermatol.2014;59:257-61.

Khondker L, Wahab MA, Khan SI. Profile of lichen planus in Bangladesh. Mymensingh Med J. 2010;19(2):250-3.

Parihar A, Sharma S, Bhattacharya SN, Singh UR. A clinicopathological study of cutaneous lichen planus. J Dermatol Surg. 2015;19:21-6.

Gurusamy L, Selvaraj U. Clinicopathological study of lichen planus in a tertiary care center. Int J Sci Stud. 2016;4(1):244-7.

Tickoo U, Bubna AK, Subramanyam S et al. A clinicopathologic study of lichen planus at a tertiary health care centre in south India. Pigment Int. 2016;3:96-101.

Kanwar AJ, Handa S, Ghosh S, Kaur S. Lichen planus in childhood: A report of 17 patients. Pediatr Dermatol. 1991;8(4):288-91.

Sharma R, Maheshwari V. Childhood lichen planus: A report of fifty cases. Pediatr Dermatol. 1999;16:345-8.

Handa S, Sahoo B. Childhood lichen planus: A study of 87 cases. Int J Dermatol 2002;41:423-7.

Nanda A, Al-Ajmi HS, Al-Sabah H, Al-Hasawi F, Alsaleh QA. Childhood lichen planus: A report of 23 cases. Pediatr Dermatol. 2001;18:1-4.

Isa An, Mustafa Aksoy, Murat Ozturk, Hakim Celik. Retrospective evaluation of clinical and demographic features of 135 patients with lichen planus. Ann Med Res. 2018;25(4):648-50.

Babu CM, Padmaja P, Shree MR. A clinical and histopathological study of lichen planus. J Evolution Med Dent Sci.2016;5(55):3790-5.

Alam F, Hamburger J. Oral mucosal lichen planus in children. Int J Paediatr Dent. 2001;11:209-14.

Altman J, Perry HO. The variations and course of lichen planus. Arch Dermatol. 1961;84:179-91.

Samman PD. Lichen planus. An analysis of 200 cases. Trans St Johns Hosp Dermatol Soc. 1961;46:36-8.

Garg Vijay Kumar, Nangia Anitha, Logani Kul Bhushan, Sharma Ravi C. Lichen Planus-a Clinicohistopathological. Ind J Dermatol Veneol and Lepr. 2000;66(4): 193-5.

Bhattacharya M, Kaur I, Kumar B. Lichen Planus. A Clinical and Epidemiological Study. J Dermatol 2000;27(9):576-82.

Abolfotouh MA, Al‑Khowailed MS, Suliman WE, Al‑Turaif DA et al. Quality of life in patients with skin diseases in central Saudi Arabia. Int J Gen Med. 2012;5:633‑42.

Downloads

Published

2023-03-05

How to Cite

1.
Palanichamy Sathianesan C, Seethalakshmi Ganga vellaisamy, Kannan Gopalan. A clinco-epidemiological study and assessment of Life Quality Index among patients with lichen planus at a tertiary care centre in South India. J Pak Assoc Dermatol [Internet]. 2023Mar.5 [cited 2024May19];33(1):204-1. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/1751

Issue

Section

Original Articles

Most read articles by the same author(s)