Does Pemphigus Vulgaris Affect Oral Health Related Quality of Life?

Mohammadjavad Salehi, A. Tabesh, Amir Mohammad Mahdian
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Abstract

Abstract Pemphigus vulgaris (PV) is a chronic disease affecting oral mucosa. Oral health related quality of life (OHRQoL) is defined as a multidimensional construct that reflects comfort of people when eating, sleeping and engaging in social interaction, self-esteem, and satisfaction with respect to their oral health. The aim of this study was to measure OHRQoL and its correlation with disease severity of patients with PV. In this cross-sectional study, OHRQoL was measured by chronic oral mucosal disease questionnaire (COMDQ) in 72 patients (45.91 ± 11.45 years old) with PV include 45 (62.5%) women and 27 (37.5%). Finally, the obtained data were analyzed by statistical software. The mean total score of COMDQ in patients with PV was 72.41 ± 9.23. Moreover, mean daily dose of prednisolone corticosteroid was 0.619±0.395 mg/kg. COMDQ score in women was significantly higher than men (P<0.001). COMDQ total scores significantly correlated with daily dose of corticosteroid (P<0.001). Our study suggested that OHRQoL in patients with PV was not acceptable, and it was worse in the female gender that have more severe disease. Therefore, medical management of the underlying disease, as well as social and emotional care facilities seem necessary to improve OHRQoL in PV patients. Keywords: Pemphigus vulgaris, Oral health, Quality of life
寻常性天疱疮会影响口腔健康相关的生活质量吗?
摘要寻常型天疱疮(Pemphigus vulgaris, PV)是一种影响口腔黏膜的慢性疾病。口腔健康相关生活质量(OHRQoL)被定义为一个多维结构,反映了人们在饮食、睡眠和社交互动时的舒适度、自尊和对口腔健康的满意度。本研究的目的是测量PV患者的OHRQoL及其与疾病严重程度的相关性。本横断面研究采用慢性口腔黏膜疾病问卷(COMDQ)对72例(45.91±11.45岁)PV患者进行OHRQoL测量,其中女性45例(62.5%),女性27例(37.5%)。最后,用统计软件对所得数据进行分析。PV患者COMDQ平均总分为72.41±9.23。此外,泼尼松龙皮质类固醇的平均日剂量为0.619±0.395 mg/kg。女性COMDQ评分明显高于男性(P<0.001)。COMDQ总分与皮质类固醇日剂量显著相关(P<0.001)。我们的研究表明,PV患者的OHRQoL是不可接受的,并且在病情更严重的女性中更差。因此,对潜在疾病的医疗管理以及社会和情感护理设施似乎是改善PV患者OHRQoL的必要条件。关键词:寻常性天疱疮,口腔健康,生活质量
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