Table of Content


Spring 2016, Vol. 24 No. 1

Hong Kong J. Dermatol. Venereol. (2016) 24, 5-16

Original Article

Quality of life in adults with endogenous eczema in Singapore


HH Wong 黃宏惠, RK Huynh, MPHS Toh 卓漢森, DCW Aw 胡政偉


Background: Endogenous eczema (EE) is a common chronic skin condition resulting from internal physiological processes not necessarily requiring external stimuli; common subtypes include atopic eczema, xerotic eczema, and non-specific endogenous eczema. The chronicity and relapsing-remitting nature of EE has a significant psychological impact on many patients. Objectives: To survey the domains of quality of life (QoL) and overall QoL of adult outpatients with EE, as well as the factors correlating with their QoL. Methods: A 17-item cross-sectional interview was conducted with 110 adults with prevailing EE from the dermatology clinic of National University Hospital, Singapore. Dermatology Quality of Life Index (DLQI) was the instrument used to assess QoL. Results: Scores for the overall scale ranged from 0 to 27, median=5.00 and SD=6.543. EE had no effect on the quality of life in 21.8%, small effect in 36.4%, moderate effect in 16.4%, very large effect in 19.1% and extremely large effect in 6.4% of the study participants. Of the domains examined by the DLQI, symptoms and feelings were the most affected. The proportion of those unaffected by EE increased in the geriatric population and those with less severe eczema (all p<0.05). There was no gender correlation. Conclusion: EE patients were significantly affected by their symptoms and feelings. Apart from providing medical treatment, dermatologists need to find ways to ameliorate symptoms experienced by patients with EE, and assess their emotional burden. This is especially important when handling the young and those with more severe disease.


Keywords: Adult, eczema, quality of life, Singapore

關鍵詞: 成年人、濕疹、生活品質、新加坡