{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T01:16:58Z","timestamp":1785028618465,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,9,23]],"date-time":"2018-09-23T00:00:00Z","timestamp":1537660800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01AI099602"],"award-info":[{"award-number":["R01AI099602"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The quality of life in many patients is affected by skin lesions. Cutaneous leishmaniasis (CL), the commonest form of leishmaniasis, is no exception. In Sri Lanka, CL is an emerging parasitological condition with over 3,000 cases within the last decade. Lesions are often seen on exposed parts of the body which may cause social stigma, and hence a study was done to assess the changes in quality of life of CL patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A total of 294 patients (200 civilians and 94 army personnel) answered a previously validated Sinhala self\u2010administered Dermatology Life Quality Index (DLQI) questionnaire and an interviewer\u2010administered questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From the majority of the civilian population, 47% had no effect on their quality of life due to CL lesions, 33.5% were affected in a small way, 12.5% were affected moderately, 6.5% suffered in a large way, and 0.5% (one patient) were extremely affected due a large ulcerative lesion being on the face. The effect on quality of life was negligible in the majority of army patients as well (35.1% no effect, 31.9% small effect), with a few patients affected moderately and very largely (22.3 and 10.6%, respectively). The most affected domain in patients was symptoms and feeling 1.27 \u00b1 1.400 (mean \u00b1 SD), and the least was the relationships domain 0.27 \u00b1 0.625.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>CL does not seem to affect the quality of life in the majority of Sri Lankan patients when compared to CL in other parts of the world or other skin diseases.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijd.14240","type":"journal-article","created":{"date-parts":[[2018,9,24]],"date-time":"2018-09-24T05:33:39Z","timestamp":1537767219000},"page":"1442-1446","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Cutaneous leishmaniasis in Sri Lanka: effect on quality of life"],"prefix":"10.1111","volume":"57","author":[{"given":"Wardha F.","family":"Refai","sequence":"first","affiliation":[{"name":"Postgraduate Institute of Medicine Colombo Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nayani P.","family":"Madarasingha","sequence":"additional","affiliation":[{"name":"Teaching Hospital Anuradhapura Anuradhapura Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Buthsiri","family":"Sumanasena","sequence":"additional","affiliation":[{"name":"Teaching Hospital Anuradhapura Anuradhapura Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudath","family":"Weerasingha","sequence":"additional","affiliation":[{"name":"Department of Parasitology Faculty of Medicine Colombo University of Colombo Colombo Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohini","family":"Fernandopulle","sequence":"additional","affiliation":[{"name":"Kotelawala Defense University Ratmalana Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadira D.","family":"Karunaweera","sequence":"additional","affiliation":[{"name":"Department of Parasitology Faculty of Medicine Colombo University of Colombo Colombo Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,9,23]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"WHO.Leishmaniasis[Internet]. World Health Organization; [cited 2015 Jul 24]. Available from:http:\/\/www.who.int\/topics\/leishmaniasis\/en\/"},{"key":"e_1_2_7_3_1","first-page":"4","article-title":"Clinical spectrum of cutaneous leishmaniasis: an overview from Pakistan","volume":"18","author":"Bari AU","year":"2012","journal-title":"Dermatol Online J"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(07)70209-8"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/00034983.1993.11812750"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0035-9203(88)90400-2"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid1104.040945"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(03)90061-7"},{"key":"e_1_2_7_9_1","first-page":"432","article-title":"Locally acquired cutaneous leishmaniasis in Sri Lanka","volume":"95","author":"Athukorale DN","year":"1992","journal-title":"J Trop Med Hyg"},{"key":"e_1_2_7_10_1","first-page":"345","article-title":"The quality of life of Sri Lankan patients with cutaneous leishmaniasis","volume":"23","author":"Ranawaka RR","year":"2014","journal-title":"Mymensingh Med J"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.4038\/cmj.v56i1.2890"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.1994.tb01167.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0738-081X(96)00057-0"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0190-9622(95)90417-4"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-3083.2000.00085.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2230.2002.01025.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.2004.01605.x"},{"key":"e_1_2_7_18_1","first-page":"474","article-title":"Quality of life in patients with cutaneous leishmaniasis","volume":"16","author":"Vares B","year":"2013","journal-title":"Arch Iran Med"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/trstmh\/trt021"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-7-3"},{"key":"e_1_2_7_21_1","first-page":"538","article-title":"Topical treatment for cutaneous leishmaniasis","volume":"3","author":"Garnier T","year":"2002","journal-title":"Curr Opin Investig Drugs"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-081X(99)00047-4"},{"key":"e_1_2_7_23_1","first-page":"1","article-title":"Leishmaniasis in North Central Province, Sri Lanka \u2013 epidemiology and therapeutic response","volume":"14","author":"Ranawaka RR","year":"2010","journal-title":"Sri Lanka J Dermatol"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.143.1.51"},{"key":"e_1_2_7_25_1","first-page":"1","article-title":"Control of the Leishmaniases","volume":"949","author":"WHO Expert Committee","year":"2010","journal-title":"WHO Tech Rep Ser"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.trstmh.2006.08.012"}],"container-title":["International Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fijd.14240","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijd.14240","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T20:36:37Z","timestamp":1694896597000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ijd.14240"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9,23]]},"references-count":25,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2018,12]]}},"alternative-id":["10.1111\/ijd.14240"],"URL":"https:\/\/doi.org\/10.1111\/ijd.14240","archive":["Portico"],"relation":{},"ISSN":["0011-9059","1365-4632"],"issn-type":[{"value":"0011-9059","type":"print"},{"value":"1365-4632","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9,23]]},"assertion":[{"value":"2017-10-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-09-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}