{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T03:50:28Z","timestamp":1782791428339,"version":"3.54.5"},"reference-count":24,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,5,29]],"date-time":"2018-05-29T00:00:00Z","timestamp":1527552000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005107","name":"Australasian Blistering Diseases Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005107","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Autoimmune blistering diseases (<jats:styled-content style=\"fixed-case\">AIBD<\/jats:styled-content>) are known to negatively impact upon quality of life (QoL); however, there is a paucity of research on the effect of <jats:styled-content style=\"fixed-case\">AIBD<\/jats:styled-content> on work productivity. <jats:styled-content style=\"fixed-case\">AIBD<\/jats:styled-content> can be quite disfiguring in terms of a patient's appearance due to their blistering nature.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the impact of <jats:styled-content style=\"fixed-case\">AIBD<\/jats:styled-content> on work productivity and to determine whether patients are stigmatized at work due to their appearance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixty\u2010one patients with <jats:styled-content style=\"fixed-case\">AIBD<\/jats:styled-content> completed the Work Productivity and Activity Impairment Questionnaire\u2010Specific Health Problem (<jats:styled-content style=\"fixed-case\">WPAIQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">SHP<\/jats:styled-content>), the Dermatology Life Quality Index (<jats:styled-content style=\"fixed-case\">DLQI<\/jats:styled-content>), the Autoimmune Bullous Disease Quality of Life (<jats:styled-content style=\"fixed-case\">ABQOL<\/jats:styled-content>) and the Treatment of Autoimmune Bullous Disease Quality of Life questionnaires (<jats:styled-content style=\"fixed-case\">TABQOL<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Non\u2010responders to treatment had more work and activity impairment compared to responders. Worse <jats:styled-content style=\"fixed-case\">WPAIQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">SHP<\/jats:styled-content> scores were correlated with higher <jats:styled-content style=\"fixed-case\">ABQOL<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> TABQOL<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">DLQI<\/jats:styled-content> scores. Approximately 14.8% of subjects experienced stigmatization at work due to their appearance. The most common body areas stigmatized were easily visible sites, particularly the hands, arms and feet, with the majority of occurrences related to co\u2010workers; for some patients, this stigmatization occurred on a daily basis. Loss of productivity at work was statistically much higher in those with higher disease severity, <jats:styled-content style=\"fixed-case\">ABQOL<\/jats:styled-content> &amp; <jats:styled-content style=\"fixed-case\">TABQOL<\/jats:styled-content> scores and in non\u2010responders to treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Autoimmune blistering diseases negatively impacts upon work productivity and activity. Stigmatization was common in the workplace which leads to increased stress, itself a stimulator of pemphigus.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.15062","type":"journal-article","created":{"date-parts":[[2018,5,6]],"date-time":"2018-05-06T10:05:51Z","timestamp":1525601151000},"page":"1959-1966","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["The effect of autoimmune blistering diseases on work productivity"],"prefix":"10.1111","volume":"32","author":[{"given":"E.Q.","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Dermatology St George Hospital Sydney NSW Australia"},{"name":"Premier Specialists Research and Development Sydney NSW Australia"},{"name":"Faculty of Medicine University of New South Wales Randwick NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Radjenovic","sequence":"additional","affiliation":[{"name":"Department of 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