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Niger J Clin Pract. 2020 Feb;23(2):159-164. doi: 10.4103/njcp.njcp_216_19.

Oral health related qualıty of lıfe and dısease severıty ın autoımmune bullous dıseases.

Author information

1
Seydisehir State Hospital, Dermatology Clinic, Seydisehir, Konya, Turkey.
2
Ondokuz Mayis University, Faculty of Medicine, Department of Dermatology, Samsun, Antalya, Turkey.
3
Ondokuz Mayis University, Faculty of Dentistry, Department of Dentomaxillofacial Radyology, Samsun, Antalya, Turkey.
4
Ondokuz Mayis University, Faculty of Dentistry, Department of Periodontology, Samsun, Antalya, Turkey.
5
Kepez State Hospital, Dermatology Clinic, Antalya, Turkey.
6
Akdeniz University, Faculty of Medicine, Biostatistics and Medical Informatics Department, Antalya, Turkey.
7
Department of Health Management, Marmara University Faculty of Health Sciences, İstanbul, Turkey.
8
Akdeniz University, Faculty of Medicine, Department of Dermatology and Venereology, Antalya, Turkey.

Abstract

Background:

There is an increased risk of long-term dental and periodontal disease in autoimmune bullous diseases (AIBD).

Aims:

In this cross-sectional study, we aimed to determine whether the oral health-related quality of life status (OHRQoL) was associated with disease severity and activity in patients with AIBD.

Subjects and Methods:

67 patients with AIBD were enrolled in this study. Autoimmune Bullous Skin Disorder Intensity Score (ABSIS) was used to evaluate the disease severity. The score was categorized as a significant course (≥17) and moderate course (<17). Oral health impact profile-14 (OHIP-14) questionnaire was filled to assess the OHRQoL. Self-reported oral health status and oral lesion related pain score were also evaluated in the study group.

Results:

OHIP-14 score was significantly higher in active patients (42.28 ± 13.66) than inactive patients (29.08 ± 12.25) (P = 0.004) and it was correlated with the pain score (6.33 ± 2.78; r = 0.409, P = 0.013). Furthermore, OHIP-14 score was higher in patients with a significant disease course (45.18 ± 15.08) (P = 0.010) than in patients with a moderate course (36.09 ± 9.73).

Conclusions:

OHRQoL may be useful in the disease management and treatment. Since it can be affected by both presence of oral erosions and disease severity, a collaboration between dermatologists and dentists could be crucial to the disease management in AIBD.

KEYWORDS:

Autoimmune bullous diseases; bullous pemphigoid; health related quality of life; oral health; pemphigus vulgaris

PMID:
32031089
DOI:
10.4103/njcp.njcp_216_19
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