Evaluation of Sleep Quality in Patients with Genital and Nongenital Cutaneous Warts: A prospective controlled study
Keywords:
warts, sleep quality, Pitssburgh Sleep Quality Index (PSQI)Abstract
Introduction: Diseases affect sleep quality and the state of sleep quality may also affect the state of diseases by affecting the immune system. Depending on the immune status of the patients with cutaneous warts, the extent of the disease and the response to treatment may vary.
Objectives: We aim characterize the association between cutaneous warts and sleep quality.
Methods: A prospective controlled study was conducted. Patients over 18 years old with cutaneous wart were enrolled. Control subjects were age- and sex- matched healthy people. Demographic and clinical data of the participants were questioned. Sleep quality of participants was evaluated with Pitssburgh Sleep Quality Index (PSQI).
Results: A total of 138 patients with cutaneous warts (genital (n=59), nongenital (n=79)) and 83 controls were interviewed. Patients with cutaneous warts showed significantly higher global PSQI score than the control group (warts vs control, 7.68±3.53 vs 4.92±2.91). The rate of having poor sleep quality in the patient group was higher than the individuals in the control group (Odds ratio (OR): 3.835). Patients with genital warts showed significantly higher global PSQI score than the patients with nongenital warts (genital vs nongenital, 8.61±3.63 vs 6.98±3.32). Female patients with genital warts showed significantly higher global PSQI score than male patients with genital warts.
Conclusions: Evaluation of sleep quality in patients with warts, especially in patients with genital warts may be suggested. The management of sleep disturbances in cutaneous warts may help increase the quality of life of patients and may effect on disease control.
References
22 Lavery MJ, Stull C, Kinney MO, Yosipovitch G. Nocturnal Pruritus: The Battle for a Peaceful Night's Sleep. Int J Mol Sci. 2016;17(3):425.
33 Pedroni MN, Hirotsu C, Porro AM, Tufik S, Andersen ML. The role of sleep in pemphigus: a review of mechanisms and perspectives. Arch Dermatol Res. 2017;309(8):659-64.
44 Altemus M, Rao B, Dhabhar FS, Ding W, Granstein RD. Stress-induced changes in skin barrier function in healthy women. J Invest Dermatol. 2001;117(2):309-17.
55 Kaaz K, Szepietowski JC, Matusiak Ł. Influence of Itch and Pain on Sleep Quality in Atopic Dermatitis and Psoriasis. Acta Derm Venereol. 2019;99(2):175-80.
66 Kaaz K, Szepietowski JC, Matusiak Ł. Sleep quality among adult patients with chronic dermatoses. Postepy Dermatol Alergol. 2019;36(6):659-66.
77 Thorburn PT, Riha RL. Skin disorders and sleep in adults: where is the evidence? Sleep Med Rev. 2010;14(6):351-8.
88 Wang Z, Xie H, Gong Y et al. Relationship between rosacea and sleep. J Dermatol. 2020;47(6):592-600.
99 Adamo D, Ruoppo E, Leuci S, Aria M, Amato M, Mignogna MD. Sleep disturbances, anxiety and depression in patients with oral lichen planus: a case-control study. J Eur Acad Dermatol Venereol. 2015;29(2):291-97.
110. Kaaz K, Szepietowski JC, Matusiak Ł. Influence of Itch and Pain on Sleep Quality in Patients with Hidradenitis Suppurativa. Acta Derm Venereol. 2018;98(8):757-61.
111. Schrom KP, Ahsanuddin S, Baechtold M, Tripathi R, Ramser A, Baron E. Acne Severity and Sleep Quality in Adults. Clocks Sleep. 2019;1(4):510-16.
112. Yazmalar L, Batmaz İ, Sarıyıldız MA, et al. Sleep quality in patients with Behçet's disease. Int J Rheum Dis. 2017;20(12):2062-69.
113. Ockenfels HM. Therapeutic management of cutaneous and genital warts. J Dtsch Dermatol Ges. 2016;14(9):892-9.
114. Chen SL, Tsao YP, Lee JW, Sheu WC, Liu YT. Characterization and analysis of human papillomaviruses of skin warts. Arch Dermatol Res. 1993;285(8):460-5.
115. Liu J, Li H, Yang F, et al. Epidemiology and Clinical Profile of Cutaneous Warts in Chinese College Students: A Cross-Sectional and Follow-Up Study. Sci Rep. 2018;8(1):15450.
116. Ranjbaran Z, Keefer L, Stepanski E, Farhadi A, Keshavarzian A. The relevance of sleep abnormalities to chronic inflammatory conditions. Inflamm Res. 2007;56(2):51-7.
117. Erdem Y, Özarmağan G. Evaluation of the quality of life in patients with genital warts. Turkderm-Turk Arch Dermatol Venereol. 2016;50(1):21-24.
118. Qi SZ, Wang SM, Shi JF, et al. Human papillomavirus-related psychosocial impact of patients with genital warts in China: a hospital-based cross-sectional study. BMC Public Health. 2014;14:739.
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