Evaluation of Dermatological Life Quality Index, Sexual Dysfunction, and Other Psychiatric Diseases in Patients Diagnosed with Vitiligo with and without Genital Involvement.

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Because skin lesions affect self-image, vitiligo affects an individual's emotional and psychological well-being, sexual life, and relationships with other people. The literature contains a limited number of studies regarding the localization of vitiligo with respect to its effect on certain variables.To investigate the effects of the presence or absence of genital involvement in vitiligo on sexual dysfunction, dermatological quality of life and susceptibility to other psychiatric disorders such as anxiety and depression.The study consisted of a total of 90 patients who were admitted to the dermatology outpatient clinic of a tertiary university hospital; the patients included 30 vitiligo cases with genital involvement, 30 vitiligo cases without genital involvement and 30 controls. All groups were evaluated with the Dermatological-Life-Quality-Index (DLQI), Hospital-Anxiety-and-Depression-Scale (HAD), Arizona-Sexual-Experience-Scale (ASEX), Golombok-Rust-Inventory-of-Sexual-Satisfaction (GRISS).The controls exhibited lower total scores on the DLQI, HAD total, ASEX and GRISS compared to the vitiligo groups (p<0.05). No statistically significant difference was found between the vitiligo group with genital involvement and without genital involvement in terms of DLQI, HAD total, ASEX, and GRISS total scores (p>0.05).The presence or absence of genital involvement in vitiligo did not have dissimilar effects on the individual's quality of life, or their sexual and psychological state.


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