Evidence map›Paper›PMID 34452954›Full record

ArticleLupus science & medicine2021

Cutaneous lupus concerns from the patient perspective: a qualitative study.

Daisy Yan, Danielle Zamalin, Srita Chakka, Rebecca Krain, Josef Concha, Rui Feng, Sarah Ahmed, Joyce Okawa, Victoria P Werth

Abstract read
In one paragraph

Article in Lupus science & medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Litifilimab efficacy on skin outcomes in cutaneous lupus erythematosus in the Phase 2 LILAC study.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Daisy YanDermatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-0863-7201
Danielle ZamalinDermatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Srita ChakkaDermatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Rebecca KrainDermatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Josef ConchaDermatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Rui FengBiostatistics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Sarah AhmedDermatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Joyce OkawaDermatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Victoria P WerthDermatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA werth@mail.med.upenn.edu.

Funding

Optimization of Clinical Trial Design in Cutaneous LupusR01AR071653 · NIAMS · UT SOUTHWESTERN MEDICAL CENTER · PI CHONG, BENJAMIN FRANKLIN, WERTH, VICTORIA P · 2018 to 2020
$653k
NIAMS NIH HHS R01 AR071653
6 · The paper itself

Abstract

objectiveThere is a need to identify concerns unique to patients with cutaneous lupus erythematosus (CLE), which may not be captured by current common-practice dermatological quality-of-life tools. This study formally characterises what bothers patients with CLE about their disease by conducting semistructured, qualitative interviews.

methodsSixteen patients with CLE were interviewed about how their cutaneous findings impact their daily life. Each interview was transcribed, coded and categorised for recurrent themes. Current CLE activity and damage were also assessed by the Cutaneous Lupus Activity and Severity Index tool.

resultsResponses were categorised into six themes, including Fear of Disease Progression, Unwanted Attention, Self-Consciousness, Physical Signs/Symptoms, Emotional Symptoms and Functional Decline. The most commonly reported themes were Self-Consciousness, mentioned by 13 of 16 (81.3%) patients, Physical Symptoms, mentioned by 12 of 16 (75%), and then Fear of Disease Progression, by 11 of 16 (68.8%). Frequently mentioned physical signs/symptoms included erythema, itch, dyspigmentation, scar and alopecia. The physical signs/symptoms were categorised as activity signs/symptoms, damage signs and other. For activity signs, erythema was mentioned most frequently (5 of 16), then scale (2 of 16). For activity symptoms, itch was mentioned most frequently (6 of 16), then pain (5 of 16). For damage signs, dyspigmentation was mentioned most frequently (4 of 16), followed by scarring (3 of 16). Patients less than 60 years old were more likely to report emotional symptoms than older patients (p<0.05), but there was no significant variation in frequency of reported themes between race, sex or subtype of CLE.

conclusionsThese patient experiences and resultant themes elucidated by this study are worth noting in future standardised estimations of the quality of life of patients with CLE. Additionally, the concerns shown by these interviews are important topics for providers to discuss when evaluating patient disease progression.

Indexed as

Lupus Erythematosus, CutaneousPigmentation DisordersCicatrixErythemaHumansMiddle AgedQuality of Lifeautoimmune diseaseslupus erythematosusqualitative researchquality of lIfesystemic

Identifiers

PMID34452954
PMCPMC8404455

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.