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DLQI

Dermatology Life Quality Index (DLQI): Validated 10-item questionnaire used to assess the impact of skin disease on the quality of life of an adult patient.
1

Over the last week, how itchy, sore, painful or stinging has your skin been?

2

Over the last week, how embarrassed or self conscious have you been because of your skin?

3

Over the last week, how much has your skin interfered with you going shopping or looking after your home or garden?

4

Over the last week, how much has your skin influenced the clothes you wear?

5

Over the last week, how much has your skin affected any social or leisure activities?

6

Over the last week, how much has your skin made it difficult for you to do any sport?

7

Over the last week, has your skin prevented you from working or studying?

8

Over the last week, how much has your skin been a problem with your partner or any of your close friends or relatives?

9

Over the last week, how much has your skin caused any sexual difficulties?

10

Over the last week, how much of a problem has the treatment for your skin been, for example by making your home messy, or by taking up time?

Guidelines & Evidence

Clinical Details

Section 1

When to Use

When to Use

Evaluating the impact of skin disease on a patient’s quality of life.
Psoriasis, chronic urticaria, atopic dermatitis, and hyperhidrosis assessments.
Often required by insurance to approve biologic therapies.
Section 2

Formula & Logic

Scoring

Consists of 10 questions covering symptoms, embarrassment, shopping, clothes, social/leisure, sport, work/study, relationships, sex, and treatment.
Each question scored: "Very much" (3), "A lot" (2), "A little" (1), "Not at all" / "Not relevant" (0).
Max score is 30.
Section 3

Pearls/Pitfalls

Limitations

Biased against patients who do not work, study, or engage in sexual activities, as scoring "Not relevant" yields a 0.
May not accurately reflect QoL impact in sensitive areas (genital psoriasis) if the patient skips the questions.
Section 4

Next Steps

Interpretation

0 - 1: No effect on patient's life.
2 - 5: Small effect.
6 - 10: Moderate effect.
11 - 20: Very large effect.
21 - 30: Extremely large effect.
Section 5

Evidence Appraisal

Last Comprehensive Review: 2026

Related Dermatology Tools

7-Point Dermoscopy Checklist
ABSI
AGEP Score
AJCC Melanoma Staging
ALDEN Algorithm
Body Surface Area
Breslow & Clark Microstaging
BWH SCC Staging
CTCAE Skin Toxicity
EASI Score
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