RESUMO
Shame has been registered as a part of psychosocial distress in patients with psoriasis. This study investigated 44 patients with psoriasis and 88 age- and sex-matched individuals without skin disease. Skin shame, multifarious expressions of shame, psychological symptoms, overall health, dermatological quality of life, disease burden and disease severity were measured. Higher levels of skin shame correlated with a greater disease burden (r=0.63; p < 0.01), higher Dermatology Life Quality Index (r=0.33; p < 0.05), and lower mental quality of life (r=-0.30; p <´ 0.05). Patients had a higher level of skin shame (F=74.03; eta2= 0.36; p < 0.01) and less physical quality of life on the SF-36 (F=5.14; eta2= 0.04; p < 0.05) than non-dermatological controls. General shame was not related to disease burden or quality of life. While self-rated skin shame appears to be related to quality of life in patients with psoriasis, no association was registered between expert-rated Psoriasis Area and Severity Index and quality of life.
Assuntos
Psoríase , Angústia Psicológica , Humanos , Projetos Piloto , Psoríase/diagnóstico , Qualidade de Vida , Índice de Gravidade de Doença , VergonhaAssuntos
Corticosteroides/uso terapêutico , Hemiatrofia Facial/patologia , Polimiosite/patologia , Esclerodermia Localizada/patologia , Biópsia por Agulha , Bochecha/patologia , Hemiatrofia Facial/tratamento farmacológico , Hemiatrofia Facial/etiologia , Humanos , Imuno-Histoquímica , Masculino , Pessoa de Meia-Idade , Polimiosite/complicações , Polimiosite/tratamento farmacológico , Prognóstico , Medição de Risco , Esclerodermia Localizada/complicações , Esclerodermia Localizada/tratamento farmacológico , Resultado do TratamentoRESUMO
Medical photography is the state of the art for the documentation of dermatological disease. Experienced photographers take pictures of the most typical skin lesions in order to assist the clinician in assessing disease morphology and activity. In this study, we present 6 individuals with a variety of dermatoses and the expression of the patients' emotions. The patients were asked to show their diseased skin and to present typically involved areas in the respective disease. The feelings expressed by their body movements and positions are viewed and interpreted. The patients' history will be reported retrospectively. The aim of the report is to show that the art of medical photography does not only document skin lesions but also the disease burden and the associated impairment of quality of life. Moreover, dermatologic photography is a sensitive intervention for patients viewed in the light of teaching and patient care.