Description: Concerns about appearance are associated with depression in people with rheumatic arthritis or lupus, an Australian study finds.

Rheumatoid arthritis can cause physical deformities, especially of the hands and feet, while lupus can cause skin rashes and lesions and hand deformity.

The study, published in the March issue of the journal Arthritis Care & Research, examined 157 patients with lupus, newly-diagnosed rheumatoid arthritis, or chronic rheumatoid arthritis who filled out questionnaires designed to assess the patients' disability, health-related quality of life (HRQOL), psychological distress, and coping strategies.

The results showed that all the patients had increased levels of psychological distress and that the lupus patients' HRQOL was negatively affected. The study also found that 53 percent of lupus patients said they felt unattractive because of their disease, compared with 30 percent of chronic rheumatoid arthritis patient