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High prevalence of alcohol use disorders in patients with inflammatory skin diseases.
- Source :
-
The British journal of dermatology [Br J Dermatol] 2017 Sep; Vol. 177 (3), pp. 837-844. Date of Electronic Publication: 2017 Jul 07. - Publication Year :
- 2017
-
Abstract
- Background: There is a known association between psoriasis and heavy alcohol consumption. The association between heavy alcohol consumption and other inflammatory skin diseases remains to be defined.<br />Objectives: To examine the prevalence of heavy drinking using the Alcohol Use Disorders Identification Test (AUDIT) in patients with inflammatory skin disease.<br />Methods: We conducted an observational cross-sectional study in a single hospital outpatient department. We recruited 609 patients with either psoriasis, eczema, cutaneous lupus or other inflammatory disorders, and a reference population with skin lesions. Primary outcome was the proportion of patients in each group with an alcohol use disorder (AUD).<br />Results: The observed prevalence of AUD was 30·6% in patients with psoriasis, 33·3% in those with eczema, 12·3% in those with cutaneous lupus, 21·8% in those with other inflammatory disease and 14·3% in those with non-inflammatory disease. Odds ratios (OR) for AUD in patients in the inflammatory groups compared with those in the noninflammatory groups, adjusted for age and sex, were as follows: psoriasis 1·65 [95% confidence interval (CI) 0·86-3·17], eczema 2·00 (95% CI 1·03-3·85), lupus 1·03 (95% CI 0·39-2·71), other inflammatory disease 1·32 (95% CI 0·68-2·56). ORs were reduced if also adjusted for Dermatology Life Quality Index (DLQI). The prevalence of DLQI ≥ 11 was 31·1% for psoriasis, 43·7% for eczema, 17·5% for cutaneous lupus, 17·2% for other inflammatory disease and 2·8% for noninflammatory disease.<br />Conclusions: Patients with eczema attending a hospital clinic have been shown to have high levels of AUD of a similar level to patients with psoriasis and higher than patients with noninflammatory skin diseases.<br /> (© 2017 British Association of Dermatologists.)
- Subjects :
- Adult
Aged
Alcohol Drinking adverse effects
Anxiety etiology
Case-Control Studies
Cross-Sectional Studies
Eczema psychology
Female
Humans
Lupus Erythematosus, Cutaneous psychology
Male
Middle Aged
Psoriasis psychology
Quality of Life psychology
Young Adult
Alcoholism complications
Skin Diseases psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1365-2133
- Volume :
- 177
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- The British journal of dermatology
- Publication Type :
- Academic Journal
- Accession number :
- 28346655
- Full Text :
- https://doi.org/10.1111/bjd.15497