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Although the association between spirituality and parameters of health and disease has been investigated extensively, little evidence is available for its potential role in dermatology.1 In order to lay some groundwork, we analysed religious and existential parameters and correlated these with the Quality of Life (QoL) subscales of physical and mental characteristics in different groups of skin disease patients. Specifically, we sought to address what effect religiosity/spirituality had on human health, particularly in light of the ongoing secularization and changing social needs of Western Europe in particular. Spirituality as one of the key elements of religion has been confirmed as an integral aspect of QoL2 and in palliative and end-of-life care.3 Religion as being related to various parameters of mental health and illness was prominently described as "the search for significance in ways related to the sacred"(p.11).4

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