A Retrospective Study Comparing Patient Self Reported Percepts using aValidated Sensitive Scale Questionnaire between Dermatologist Diagnosed SkinConditions in a Private Clinic Setting including Sensitive Skin Syndrome

K. Chan
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Abstract

Sensitive skin syndrome; albeit reported in many countries worldwide; remained a condition of unknown etiology and pathogenesis. Some authorities speculate it as a skin condition continuum from mild to severe, its severity is difficult to assess. Our retrospective study aimed to draw a one- year new patient’s attendee clinical data comparing the patient self -reported percepts using a validated sensitive scale questionnaire between dermatologist diagnosed skin conditions in a private clinic setting including sensitive skin syndrome. The results suggested that allergic contact dermatitis, herpes zoster and sensitive skin syndrome diagnosed patients reported a similar mean Sensitive Scale-10 scores {46.07 (N= 91), 40.72 (N=35) and 41.38 (N=84); p >0.05} respectively. The mean SS 10 score was statistically significantly different from other skin conditions like atopic dermatitis and seborrhea dermatitis and control. The patterns of percepts distribution in terms of skin irritation, general discomfort, skin itchiness, tautness and pain between allergic contact dermatitis, herpes zoster and sensitive skin syndrome were similar. Though pain is more commonly reported it herpes zoster than itch. As how a patient perceives their somatic symptoms is one of the major reasons for their dermatology health seeking behavior, our study suggested that extreme acute form of sensitive skin syndrome may have a patient percepts similar to allergic contact dermatitis, herpes zoster psychosocially significantly affecting quality of life of the sufferers.
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一项回顾性研究比较患者自我报告的感知使用有效的敏感量表问卷在私人诊所皮肤科医生诊断的皮肤状况,包括敏感皮肤综合征
敏感皮肤综合征;尽管在世界上许多国家都有报道;病因和发病机制尚不清楚。一些权威人士推测,它是一种从轻微到严重的连续皮肤状况,其严重程度难以评估。我们的回顾性研究旨在绘制一年内新患者的临床数据,比较患者自我报告的感知,使用经过验证的敏感量表问卷,在私人诊所设置皮肤科医生诊断的皮肤状况,包括敏感皮肤综合征。结果表明,过敏性接触性皮炎、带状疱疹和敏感皮肤综合征患者的敏感量表-10平均评分相似,分别为46.07 (N= 91)、40.72 (N=35)和41.38 (N=84);P >0.05}。ss10平均评分与其他皮肤病如特应性皮炎、脂溢性皮炎及对照组有统计学差异。过敏性接触性皮炎、带状疱疹和敏感皮肤综合征患者在皮肤刺激、全身不适、皮肤瘙痒、紧绷和疼痛方面的感知分布模式相似。尽管疼痛比瘙痒更常被报道为带状疱疹。由于患者对躯体症状的感知是其皮肤健康寻求行为的主要原因之一,我们的研究表明,极端急性型敏感皮肤综合征可能具有与过敏性接触性皮炎相似的患者感知,带状疱疹的心理社会显著影响患者的生活质量。
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