Impact of vitiligo on quality of life of patients in Herat, Afghanistan

Background: Vitiligo is a chronic pigmentary disorder of the skin. Although predominantly asymptomatic and not life-threatening, vitiligo may considerably affect patients’ quality of life (QoL). It has been suggested that vitiligo patients suffer from low selfesteem and poor body image, which may cause a lower level of QoL. The objective of this study was to evaluate the effect of vitiligo on patients’ QoL in Herat, Afghanistan. Methods: This descriptive study was conducted at Hooshmand Skin and Cosmetic Hospital and the associated phototherapy center from November 2015 to April 2017. A total of 170 patients above 16 years of age were recruited. A valid translated Persian version of the Dermatology Life Quality Index (DLQI) was completed by subjects, and data were collected using structured datasheets. Result: On average, patients were 27.84 ± 10.74 years old, and 40.6% were males. The overall mean DLQI score was 9.72 ± 5.82, including 9.93 ± 4.64 in women and 9.42 ± 6.11 in men. The DLQI score was significantly related to the age, type of disease, treatment history, and employment status. Compared to males’, females’ QoL was more impaired in feeling (Q2) and type of clothing (Q4) (P = 0.020 and P = 0.021, respectively). Conclusion: Vitiligo patients showed a moderate limitation in their QoL. Hence, the managing team should focus on the QoL and psychosocial well-being of vitiligo patients in addition to their clinical condition.