Quality of life in pediatric patients before and after cosmetic camouflage of visible skin conditions

Abstract

Background: Visible vascular and pigmentary conditions have a negative impact on children's and adolescents' quality of life (QoL). We sought to quantitate the effect of visible skin anomalies and their camouflage on QoL.

Methods: In all, 41 patients, 5 years of age and older, were taught to use cosmetic camouflage. QoL was assessed using the Children's Dermatology Life Quality Index (CDLQI) before and 6 months after the intervention. Satisfaction and use were evaluated after 1 and 6 months.

Results: Baseline QoL scores revealed a small impact of vascular anomalies (CDLQI score 4.2) and a small to moderate effect of pigmentary anomalies (CDLQI score 6.1). Six months after the intervention, QoL improved in the study population as a whole (CDLQI score 5.1 vs 2.1, P<.001), with significant improvements documented for facial lesions and vascular malformations. Cosmetic camouflage was well tolerated and patients with pigmentary anomalies were more likely to continue using the products.

Limitations: Limitations include small study population, few male patients, cultural influences not addressed, and limited range of conditions.

Conclusions: Children and teenagers with visible vascular and pigmentary anomalies experience an impairment of QoL that is abrogated by introduction to use of cosmetic camouflage.

Keywords: Children's Dermatology Life Quality Index; camouflage make-up; cosmetic camouflage; nevi; postinflammatory dyspigmentation; quality of life; telangiectasia; vascular malformations; vitiligo.