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Chronic pruritus in HIV-positive patients in the southeastern United States: its prevalence and effect on quality of life.

Publication ,  Journal Article
Kaushik, SB; Cerci, FB; Miracle, J; Pokharel, A; Chen, SC; Chan, YH; Wilkin, A; Yosipovitch, G
Published in: J Am Acad Dermatol
April 2014

BACKGROUND: Prevalence of chronic pruritus in HIV-positive patients is an underevaluated topic in the United States. The characteristics, severity, and quality of life (QOL) in patients with HIV and chronic pruritus have not been well documented using validated tools. OBJECTIVES: We sought to assess the prevalence and intensity of chronic pruritus and its effect on QOL in HIV-positive patients in a US population. METHODS: HIV-positive patients (n = 201) were asked to complete a sociodemographic data form and 2 itch questionnaires. Patients with itching rated their itch intensity on a numeric visual analog scale. Laboratory parameters were obtained from patients' medical records. RESULTS: The prevalence of chronic itch in the study group was 45% with an average visual analog scale score of 5.93 during an itch episode. Patients with high visual analog scale score had significantly decreased QOL. Patients with HIV reported greater negative impact of pruritus on daily lives. LIMITATIONS: Because of the cross-sectional design, this study demonstrates an association between HIV and pruritus but cannot prove causation. CONCLUSION: Patients with HIV surveyed in a large clinic in the southeastern United States have a high prevalence of pruritus; HIV pruritus has a significant effect on QOL and itch is the most common skin manifestation found in this population.

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Published In

J Am Acad Dermatol

DOI

EISSN

1097-6787

Publication Date

April 2014

Volume

70

Issue

4

Start / End Page

659 / 664

Location

United States

Related Subject Headings

  • Young Adult
  • Surveys and Questionnaires
  • Statistics, Nonparametric
  • Southeastern United States
  • Sex Distribution
  • Severity of Illness Index
  • Risk Assessment
  • Quality of Life
  • Pruritus
  • Prevalence
 

Citation

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Kaushik, S. B., Cerci, F. B., Miracle, J., Pokharel, A., Chen, S. C., Chan, Y. H., … Yosipovitch, G. (2014). Chronic pruritus in HIV-positive patients in the southeastern United States: its prevalence and effect on quality of life. J Am Acad Dermatol, 70(4), 659–664. https://doi.org/10.1016/j.jaad.2013.12.015
Kaushik, Shivani B., Felipe B. Cerci, Jill Miracle, Achyut Pokharel, Suephy C. Chen, Yiong Huak Chan, Aimee Wilkin, and Gil Yosipovitch. “Chronic pruritus in HIV-positive patients in the southeastern United States: its prevalence and effect on quality of life.J Am Acad Dermatol 70, no. 4 (April 2014): 659–64. https://doi.org/10.1016/j.jaad.2013.12.015.
Kaushik SB, Cerci FB, Miracle J, Pokharel A, Chen SC, Chan YH, et al. Chronic pruritus in HIV-positive patients in the southeastern United States: its prevalence and effect on quality of life. J Am Acad Dermatol. 2014 Apr;70(4):659–64.
Kaushik, Shivani B., et al. “Chronic pruritus in HIV-positive patients in the southeastern United States: its prevalence and effect on quality of life.J Am Acad Dermatol, vol. 70, no. 4, Apr. 2014, pp. 659–64. Pubmed, doi:10.1016/j.jaad.2013.12.015.
Kaushik SB, Cerci FB, Miracle J, Pokharel A, Chen SC, Chan YH, Wilkin A, Yosipovitch G. Chronic pruritus in HIV-positive patients in the southeastern United States: its prevalence and effect on quality of life. J Am Acad Dermatol. 2014 Apr;70(4):659–664.
Journal cover image

Published In

J Am Acad Dermatol

DOI

EISSN

1097-6787

Publication Date

April 2014

Volume

70

Issue

4

Start / End Page

659 / 664

Location

United States

Related Subject Headings

  • Young Adult
  • Surveys and Questionnaires
  • Statistics, Nonparametric
  • Southeastern United States
  • Sex Distribution
  • Severity of Illness Index
  • Risk Assessment
  • Quality of Life
  • Pruritus
  • Prevalence