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The evaluation of family impact of recessive dystrophic epidermolysis bullosa using the Italian version of the Family Dermatology Life Quality Index.
[dystrophic epidermolysis bullosa]
Severe
skin
diseases
,
such
as
epidermolysis
bullosa
(
EB
)
,
may
have
a
strong
impact
not
only
on
patients
but
also
on
caregivers
.
A
specific
questionnaire
evaluating
the
family
impact
of
dermatological
conditions
has
been
created
,
the
Family
Dermatology
Life
Quality
Index
(
FDLQI
)
,
but
it
has
not
yet
been
translated
in
Italian
and
validated
.
To
evaluate
the
burden
of
recessive
dystrophic
EB
on
family
caregivers
,
using
for
the
first
time
the
Italian
version
of
the
FDLQI
,
and
to
validate
the
instrument
.
Patients
with
recessive
dystrophic
EB
participated
in
a
postal
survey
enquiring
about
the
burden
of
EB
on
family
caregivers
.
They
completed
the
Family
Strain
Questionnaire
and
the
FDLQI
and
they
marked
on
a
silhouette
of
the
human
body
the
skin
lesion
distribution
.
Data
on
62
family
caregivers
were
collected
.
The
overall
mean
FDLQI
score
was
9
.
8
.
The
most
frequently
reported
problems
were
the
time
spent
on
looking
after
the
patient
,
emotional
distress
,
physical
well-being
,
and
increased
household
expenditure
.
FDLQI
scores
were
higher
in
family
caregivers
of
patients
between
10
and
20
years
.
The
Italian
FDLQI
showed
high
internal
consistency
,
construct
and
convergent
validity
.
Factor
analysis
revealed
the
presence
of
one
factor
structure
underlying
the
items
of
the
FDLQI
,
which
explained
51
.
5
%
of
the
total
variance
,
very
similar
to
the
original
questionnaire
(
55
.
8
%
)
.
The
Italian
version
of
the
FDLQI
seems
to
be
a
useful
tool
to
evaluate
the
impact
of
EB
on
family
caregivers
.
Further
studies
are
necessary
to
test
this
instrument
in
other
dermatological
conditions
.
Diseases
Validation
Diseases presenting
"skin diseases"
symptom
cutaneous mastocytosis
dentinogenesis imperfecta
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erythropoietic protoporphyria
fabry disease
harlequin ichthyosis
inclusion body myositis
junctional epidermolysis bullosa
kindler syndrome
lamellar ichthyosis
oculocutaneous albinism
papillon-lefèvre syndrome
sneddon syndrome
systemic capillary leak syndrome
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