Ann Dermatol.  2022 Aug;34(4):237-244. 10.5021/ad.21.202.

Impact of Pediatric Alopecia Areata on Quality of Life of Patients and Their Family Members: A Nationwide Multicenter Questionnaire Study

Affiliations
  • 1Department of Dermatology, Ajou University School of Medicine, Suwon, Korea
  • 2Department of Dermatology, Jeonbuk National University Medical School, Jeonju, Korea
  • 3Department of Dermatology and Institute of Hair and Cosmetic Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
  • 4Department of Dermatology, The Catholic University of Korea School of Medicine, Seoul
  • 5Department of Dermatology, Chungbuk National University School of Medicine, Cheongju
  • 6Department of Dermatology, Dong-A University School of Medicine, Busan
  • 7Department of Dermatology, School of Medicine, Kyungpook National University, Daegu, Korea
  • 8Department of Dermatology, Pusan National University School of Medicine, Busan, Korea
  • 9Department of Dermatology, Kyung Hee University School of Medicine, Seoul, Korea
  • 10Department of Dermatology, Korea University College of Medicine, Seoul, Korea
  • 11Department of Dermatology, Seoul National University College of Medicine, Seoul, Korea
  • 12Department of Dermatology, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 13Department of Dermatology, Konkuk University School of Medicine, Seoul, Korea
  • 14Department of Dermatology, Dankook University College of Medicine, Cheonan, Korea
  • 15Department of Dermatology, University of Ulsan School of Medicine, Korea
  • 16Department of Dermatology, Yonsei University College of Medicine, Seoul, Korea
  • 17Department of Dermatology, Inje University School of Medicine, Busan, Korea
  • 18Department of Dermatology, Chung-Ang University College of Medicine, Seoul, Korea
  • 19Department of Dermatology, Chungnam National University School of Medicine, Daejeon, Korea
  • 20Department of Dermatology, Hallym University College of Medicine, Seoul, Korea
  • 21Department of Dermatology, Inha University School of Medicine, Incheon, Korea

Abstract

Background
Pediatric alopecia areata (AA) can affect the quality of life (QoL) of patients and their family members. Research on the QoL and burden on family members in pediatric AA is limited.
Objective
This nationwide multicenter questionnaire study described the QoL and burden of the family members of patients with pediatric AA.
Methods
This nationwide multicenter questionnaire study enrolled AA patients between the ages of 5 and 18 years from March 1, 2017 to February 28, 2018. Enrolled patients and their parents completed the modified Children’s Dermatology Life Quality Index (CDLQI) and the modified Dermatitis Family Impact (mDFI). The disease severity was measured using the Severity of Alopecia Tool (SALT) survey scores.
Results
A total of 268 patients with AA from 22 hospitals participated in this study. Our study found that the efficacy and satisfaction of previous treatments of AA decreased as the severity of the disease increased. The use of home-based therapies and traditional medicines increased with the increasing severity of the disease, but the efficacy felt by patients was limited. CDLQI and mDFI scores were higher in patients with extensive AA than those with mild to moderate AA. The economic and time burden of the family members also increased as the severity of the disease increased.
Conclusion
The severity of the AA is indirectly proportional to the QoL of patients and their family members and directly proportional to the burden. Physicians need to understand these characteristics of pediatric AA and provide appropriate intervention to patients and their family members.

Keyword

Pediatric alopecia areata; Quality of life
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