Print ISSN: 0027-1446

Online ISSN: 2309-6217

Main Subjects : dermatology

The Quality of Life in Patients with Chronic Urticaria

sayf Zuhair yousif; Pers Yousif Yaaqub

Annals of the College of Medicine, Mosul, 2022, Volume 44, Issue 1, Pages 14-21
DOI: 10.33899/mmed.2022.133449.1142

Background: Chronic skin urticaria (CU) is a type of skin illness that is characterized by pruritus, angioedema, or wheals for longer than six weeks. It has a major impact on patients quality of life.
Study aim: To identify the impact of chronic skin urticaria on the patients quality of life.
Study setting: Erbil Dermatology Teaching Center.
Study sample: One hundred and three patients, above 16 years of both sexes who were having chronic urticaria were included in the study sample.
Study design: A case series research was used in this study.
Study period: The study was conducted from the first of March 2021 to the end of January 2022.   
Data collection: All patients were interviewed by the researcher using a specially designed questionnaire sheet and the needed information was filled by the researcher. These information include age, gender, education, occupations, residence, marital status, and skin types in addition to the DLQI questionnaire which was downloaded from Cardiff University website. There are 10 questions or items in the DLQI questionnaire, which are further subdivided into six subdomains of life.
Result: The score mean of DLQI was (9.3±4.37); 24 (23.3%) CU patients have a low effect, 39 (37.9%) with moderate effect and 40 (38.8%) patients have high effects. The mean DLQI score was higher among self employed patients and lower among retired patients and higher among CU patients were visiting more than two doctors and among patients who receiving treatment.
Conclusion: Chronic skin urticaria has commonly moderate effect on the patients’ quality of life and affected by occupation, severity of disease, and treatment.
Recommendations: This study recommended that the physician should adopt an integral plan in management of CU taking in consideration mental and social wellbeing of patients. Additionally, more national researches on the QoL of CU patients must be maintained.

Utility of different modalities in treatment of keloid scar

Hala N. Al Salman

Annals of the College of Medicine, Mosul, 2022, Volume 44, Issue 1, Pages 54-60
DOI: 10.33899/mmed.2022.132869.1134

Background : Keloids constitute an abnormal benign fibro-proliferative wound healing response to any type of skin injury. it has high influence on Patient’s psychology and cosmetic view. It has high prevalence in African-American subjects. Until now there is no definitive treatment.
The aim of study : to assess the response in three different groups using three different modalities (intralesional steroid, cryotherapy, and both).
Patient and method : This was a randomized controlled clinical method with equivalent intervention assignment study, which was done on 16 patients (105 lesions), who attended Ibn Sina Teaching hospital, Mosul, Iraq, from January 2019 to January 2021.
Results : there were significant responses to the three modalities (p-value less than 0.05). and the response assessed for each patient according to Vancouver Score Scale (VSS), Patient and Observer Scar Assessment Scale (POSAS), and 2 diameters assess.
Conclusion: The results of this study showed that the combination of cryotherapy with intralesional steroids is more effective than steroid or cryotherapy alone in treating keloids.

Dermatoscopic evaluation of alopecia areata

Qasim S. Al Chalabi; Anfal Al harbawi; Hala N. Al Salman

Annals of the College of Medicine, Mosul, 2021, Volume 43, Issue 2, Pages 144-151
DOI: 10.33899/mmed.2021.131614.1116

Objective: to assess the dermoscopic characteristics of alopecia areata and their correlations with clinical variants, nail changes, and severity of the disease.
Patients and methods: This is a case-series study, which was carried out on 209 patients with alopecia areata in the Department of Dermatology from January 2020 to January 2021 at Ibn-Sina Teaching Hospital, Mosul, Iraq. After the patient's acceptance to participate in this study, a detailed history was taken. A clinical and dermatological examination was done included hair pulling test, and disease severity was graded according to the severity of alopecia tool (SALT) scoring. Each patch of alopecia areata was examined and assessed using a SKIARY Smartphone Dermatoscope©, photos ‎were taken and evaluated by three dermatologist experts in dermatoscopy separately ‎and their notes were recorded, evaluated, and tabulated‎. Spearman`s rank-order correlation test was used for data analysis.
Results: Two hundred and nine patients with alopecia areata had participated in this research. The male to female ratio was 1.5:1.  The mean age of presentation was of 21 ± 10.64 years. 45% of the patients had Grade S2 severity. Yellow dots were the most common dermatoscopic finding followed by black dots, while perifollicular scales were the least common. Yellow dots, broken hairs, exclamation mark hairs, and nails changes were correlated with the severe form of the disease (P <0.05).
Conclusion: Alopecia areata has many dermatoscopic manifestations which are helpful in the clinical diagnosis and prognosis of the disease. Yellow dots, black dots, exclamation marks hair, broken hairs, and nail changes are related to the severe form of the disease.