Title: Evaluation of quality of life in patients with onychomycosis using the Polish version of Dermatology Life Qualitylndex
- Jacek Szepietowski, Adam Reich, Michał Woźniak, Eugeniusz Baran
- Original articles
- Medical Mycology
- Start page:
- Final page:
- onychomycosis, quality of life, DLQI
Introduction: Onychomycosis is the most frequent nail disease, widely distributed in the population.
Aim of the study: The present study was undertaken to evaluate the impact of onychomycosis (both toenail and fingernail) on quality of life among Polish population.
Material and methods: 772 (396 females and 376 males) individuals in the age between 16 and 87 years (mean 47.2±14.5 years) were included in the study. 555 patients suffered from toenail onychomycosis, 144 from fingernail onychomycosis and 73 had both, fingernail and toenail onychomycosis. In 108 individuals other concomitant cutaneous fungal infections were also documented. The diagnosis of onychomycosis was
confirmed by the positive mycologic culture and/or by positive direct microscopic examination. Quality of life was assessed according the Polish version of Dermatology Life Quality lndex (DLOJ).
Results:The mean DLOJ for the whole group was 7.2±5.3 points (range 0-26 points). Patients with fingernail onychomycosis were more severely affected by the disease then subjects with toenail onychomycosis (8.9±5.2 vs. 6.6±5.4; p<0.001). It was also noted, that females were significantly
more severely affected by onychomycosis compared to males (7.7±5.4 vs. 6.6±5.1; p<0.01). The decreased level of quality of life significantly correlated with the patients' age (r=-0.2, p<0.001) and duration of the disease (r=-0.19; p<0.001). The presence of other fungal skin infection and the number of involved nails did not significantly influence the level of quality of life.
Conclusions: Toenail onychomycosis is still a serious medical problems, which can significantly reduce the patients' quality of life.