Abstract
Perceived stigma and social discomfort are experienced by patients with visible skin ailments, negatively impacting their well-being. A new patient-reported outcome measure, StigMA & Social Health (SMASH), was used to study perceived stigma and social comfort in five chronic skin diseases. SMASH is a 12-item survey with two subscales (Stigma = 8 items; Social Health = 4 items) with scores from 1 to 5. High stigma scores and low social health social scores reflect poorer outcomes. Subjects (ages ≥13 years) with atopic dermatitis (AD), psoriasis (PS), acne, cutaneous lupus (CL), or alopecia areata (AA) consented to the study and completed SMASH, Dermatology Life Quality Index (DLQI), and Patient Global Impression of Severity (PGIS) at two visits.
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