Impact of a new simplified disability scoring system for adult patients with localized scleroderma |
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| Authors: | Naoko Okiyama Yoshihide Asano Yasuhito Hamaguchi Masatoshi Jinnin Sei‐ichiro Motegi Haruka Koizumi Minoru Hasegawa Osamu Ishikawa Shinichi Sato Kazuhiko Takehara Toshiyuki Yamamoto Manabu Fujimoto Hironobu Ihn |
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| Affiliation: | 1. Department of Dermatology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan;2. Department of Dermatology, Faculty of Medicine, University of Tokyo, Tokyo, Japan;3. Department of Molecular Pathology of Skin, Faculty of Medicine, Institute of Medical, Pharmaceutical and Health Science, Kanazawa University, Kanazawa, Japan;4. Department of Dermatology and Plastic Surgery, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan;5. Department of Dermatology, Graduate School of Medicine, Gunma University, Gunma, Japan;6. Department of Dermatology, Faculty of Medical Sciences, University of Fukui, Fukui, Japan;7. Department of Dermatology, Fukushima Medical University School of Medicine, Fukushima, Japan |
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| Abstract: | Localized scleroderma (LoS) involves dermal but not internal inflammation and fibrosis. Cosmetic changes often impact quality of life (QOL), however, impairment of activities of daily living (ADL) in LoS patients has not been investigated. To determine what factor(s) are associated with ADL in adult patients with LoS, we performed a retrospective observational study in 177 Japanese adult LoS patients using a novel LoS disability score based on Barthel's indices of ADL: feeding, bathing, grooming, dressing, bowels, bladder, toilet use, transfers, mobility and stairs. LoS disability scores increased in proportion to the number of affected body parts but were not correlated to age and duration of illness. The presence of leg lesions significantly impaired ADL of LoS patients compared with lesions on other body parts. Patients treated with systemic medications, who tended to have multiple lesions, presented higher LoS disability scores than those without systemic treatments. Our study proposes that physicians evaluate ADL, not only QOL, in LoS patients. Our findings using LoS disability scoring indicate that multiple affected body parts and leg lesions are risk factors for ADL impairment. |
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| Keywords: | activities of daily living legs localized scleroderma retrospective observational study scoring system |
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