Assessment of Quality of Life and Selected Skin Parameters of People With Pigmentary Lesions: A Pilot Study

BACKGROUNDDiscoloration is a common skin disorder that significantly affects patients' psychosocial functioning. Understanding the relationship between pigmentary changes and quality of life is essential for comprehensive patient care.

AIMSTo evaluate the quality of life and selected skin biophysical parameters in people with pigmentary lesions, with a focus on the relationship between the severity of pigmentary changes, skin parameters, and demographic factors.

PATIENTS/METHODSThe study included 30 adults with pigmentary changes. A standardized Dermatology Life Quality Index (DLQI) questionnaire, an author's survey questionnaire, and a numerical satisfaction scale (0–10) were used. The severity of pigmentary changes was assessed using the International Severity Rating Scale, while skin parameters (hydration, oiliness, desquamation, pore size) were measured using the Nati V3 device.

RESULTSThe mean DLQI value was 5.36 ± 5.72 points, indicating a slightly reduced quality of life. The patients showed increased oiliness (M = 26.72% ± 22.53%), reduced hydration (Me = 24% in the T-zone, Me = 20% in the U-zone), and dilated pores (0.16 mm in 56.7% of subjects). The severity of discoloration (M = 19.40 ± 10.19) showed significant differences in T-zone hydration (p = 0.040) and desquamation (p = 0.033). Those who rated their health as worse showed significantly reduced quality of life (p = 0.011).

CONCLUSIONSDiscoloration has a significant impact on quality of life, especially in terms of feelings of attractiveness and mood, and is accompanied by characteristic changes in biophysical parameters of the skin. A holistic approach to treatment should include both dermatological therapy and psychological support.

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