In this issue of JAMA Dermatology, Nguyen et al1 report a systematic review and meta-analysis of vascular malformations and health-related quality of life (QOL). Vascular malformations include a heterogeneous group of capillary, venous, lymphatic, and arteriovenous malformations, with or without overgrowth. Some of these are located in prominent locations, such as the head and neck, causing patients psychosocial stigmatization. Others cause impairment of function owing to involvement of deeper structures, such as muscle, bone, or joint. Finally, some of these are prone to complications, such as thrombophlebitis, bleeding, ulceration, and pain. For a myriad of reasons, vascular malformations result in decreased QOL in patients who have them. Nguyen et al1 reviewed studies using validated QOL measurements and identified that pain and psychological morbidity were greater in patients with vascular malformations when compared with the general population. Now that we have more insight into the factors that affect QOL in those with vascular malformations, dermatologists are charged with the goal of improving these aspects for patients.
Council ML. Quality of Life and the Dermatologist. JAMA Dermatol. 2018;154(6):654–655. doi:10.1001/jamadermatol.2018.0001
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