Índice de severidad y área de afectación como factores de influencia en la calidad de vida de los pacientes con Melasma. Área de dermatología. Hospital Luis Vernaza. Enero - junio del 2018.

Abstract

Background: Melasma is a skin hyperpigmentation, symmetrical and irregular, light brown to dark in exposed areas, especially on the face, so it is considered a cosmetic affectation, which influences negatively on the selfperception and self-esteem the patients. Materials and Methods: An analytical, prospective, crossover study relational level, was performed on a group of 43 patients attending the hospital Luis Vernaza Guayaquil between January to June 2018. Results: predominance of female over masculine sex was found, with a mean age of 45.88 ± 10.72. 74.4% of patients had married or common-law marital status. The most frequent clinical pattern was the malar, phototype IV was affected more than others were. The mMASI mean was 8.75 ± 3.57, which corresponded to 34.9% of mild type melasma, 62.8% moderate, and 2.3% of severe type. MelasQoL reported an average of 25.16 ± 9.40, which indicated 7% of patients without affectation, 34.9% of mild affection, 39.5% moderate, 16.3% severe, and 2.3% very severe. There was a correlation of Pearson MASI and MelasQoL of 0.64 with a P value of 0.00. Conclusions: it was found that if there is statistical significance between the severity of the melasma and the quality of life, that is, that the level of quality of life is mostly deteriorated while the melasma is more intense.