Investigation Of Keloid And Underarm Odor Patients And Assessment Of Mental Health

[Objective] To evaluate the psychological health state and epidemiological investigation in the patients with keloid in department of dermatology of the first affiliated hospital of Kunming medical university between November2012to April2013and in Augest2013.[Methods]127patients who met the Vancouver scar scale criteria and accessed by doctor who accepted special training. Collection of patients’s fundmental information, medical history,clinical symptoms, family history and mental state. The data analysis by descriptive analysis, chi-square test and z test. There are significant differences (P<0.05).[Results] All subjects completed the scale, including57males(44.9%) and70females(55.1%) with sex ratio of1:1.23. The onset age was2to72with average at24.21±11.78and the age of first visit was16to74years old, containing77subjects (60.63%) from16to30years. They had different courses, such as69subjects(53.3%) last1to5years. The causes involved in keloid were post-surgery19cases(15.0%), post-trauma11cases (8.7%),2empyrosis(1.6%),19artificial damages (15.0%),58inflammations (45.7%),1foreign matter(0.8%) and2infections (1.6%). Additionally,23subjects (18.1%) felt itching,75subjects (59.1%) felt pain,87subjects (68.5%) had red onset and6patients(4.7%) with other symptoms, such as swelling, fever, smell.92cases (72.4%) had keloids at exposuresiteof the body,35cases (27.6%) had keloids at non-exposure site of the body,35cases (27.6%) had single onset, and92cases (72.4%) had multiple onset. About32patients (25.2%) affected with kiloid within three lineal consanguinity generations.In treated patients, most had received steroid hormone drugs. Thirteen of them felt an ideal effect, and20felt otherwise. Patients in undergraduate and master degree contained the most subjects who desired to get full recovery. In stressing patients, 53cases had suffered recurrence. On contrary, only5of30subjects who were non stressing had recurrence.All the keloid patients had significant high scores in SCL-90of depression, anxiety and terror compared to healthy controls. However, they had significant lower scores on obsessive compulsive symptom, interpersonal sensitivity, anxiety, hostility and psychoticism compared to axillary bromidrosis patients, In three open questions, the influence on appearance was most attention, genetic and etiology of the disease was also referred.I Conclusion]1. The average onset age of keloid is adolescence. The causes involved in inflammation (45.7%), postoperation (15.0%), and artificial damages (15.0%). The clinical syptoms include redness skin (68.5%) and pain(59.1%).2. Keloid has certain familial transmissibility, The genetic rate is vary in different race. In china, according to our investigaton and some papers, the genetic rate is between25%to30%.3. Keloid appeared to multiple sites of body (72.4%), and maily distribute in high tension parts (64.6%), especially chest and back.4.The educational level is positive correlation to the desire of treatment, and the stress has positive feedback to recurrence rate (x2=53.539, P<0.01).5. Compared to axillary bromidrosis population, The patients with keloid feel more optimistic, despite they have mental differences with healthy populatin.6. According to the answers of opening questions, Patients pay more attention to the appearance and discomfort caused by keloid, and the effects of treatment, especially changes of appearance. If doctor could provide some knowledge about keloid, It might increase compliance and improve treatment effects. [Objective] To evaluate the psychological health state and epidemiological investigation in the patients with axillary bromidrosis in department of dermatology of the first affiliated hospital of Kunming medical university between October2012to January2013.[Methods]119patients who met the axilla has special odor and accessed by doctor who accepted special training.Collection of patients’s fundmental information, family history, formation time and so on. The data analysis by nonparametric statistics, descriptive analysis, chi-square test and Z test. There are significant differences (P<0.05).[Results] There are totally129completed scales, involved34males (28.6%) and85females (71.4%), gender ratio is1:2.5. The onset age of axillary bromidrosis is10to37years old with mean at16.1±4.7years old. About103cases (86.6%) onset in adolescence. The age of visit is vary from14to47years old. There are61cases (51.3%) first visit doctor beteween21to30years. In all cases, there are63(52.9%) cases have a university or college education level. The course of axillary bromidrosis last1to31years.81cases (68.1%) affected with axillary osmidrosis within three generations lineal relatives, and38cases (31.9%) affected with foot osmidrosis.About76cases (63.7%) axillary osmidrosis combined chromhidrosis and104cases (87.4%) combined wet earwax, All cases with axillary bromidrosis complained hyperidrosis occurred in axillary(83.8%)more than occured in bottom of feet(7.7%).114cases (95.8%) admitted that axillary bromidrosis brought them troubles. About93cases (78.2%) avoid contact with other people when the weather being hot.66cases (55.5%) admitted that axillary bromidrosis brought them inferiorityThere are61cases(51.3%) fall into normal range(1-1.5) of symptom index of the SCL-90scale score,54case (45.4%) scored1.5-2.5and4cases(3.4%) scored2.5-3.5. the serious disease situation accompanied with the worse mental disorder (x2=14.277, P<0.01). Compared to healthy population, the cases with axillary bromidrosis have significant differences in obsessive compulsive symptom, interpersonal sensitivity, depress, anxiety and psychoticism (P<0.05).[Conclusion]1. The average onset age of axillary bromidrosis is adolescence, it is between11to20years old.2. All119patients have a genetic rate of68.1%in axillary bromidrosis and32.9%in foot bromidrosis.3. About63.7%of the patients with axillary bromidrosis have chromhidrosis. Although most of them are yellow sweat,but black and brown ones still existed. About87.5%of them have wet earwax. All cases with axillary bromidrosis complained hyperidrosis occurred in axillary more than in bottom of feet.4. The majority of patients admitted that axillary bromidrosis brought them troubles, and they tended to avoid contact with other people. More than half of cases have a sense of inferiority.5.The psychological state in axillary bromidrosis patients has significant differences compared to the healthy population group. In addition, the serious disease situation accompanied with the worse mental disorder.