Korean J Dermatol.
2013 Apr;51(4):243-248.
Comparison of Severity Scoring Systems of Atopic Dermatitis
- Affiliations
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- 1Department of Dermatology, Chung Ang University College of Medicine, Korea. drseo@hanafos.com
- 2Department of Dermatology, Seoul National University College of Medicine, Korea.
- 3Department of Dermatology, Kyungpook National University College of Medicine, Korea.
- 4Department of Dermatology, Pusan National University College of Medicine, Korea.
- 5Department of Dermatology, The Catholic University of Korea College of Medicine, Korea.
- 6Department of Dermatology, Hanyang University College of Medicine, Korea.
- 7Department of Dermatology, Soonchunhyang University College of Medicine, Korea.
- 8Department of Dermatology, Hallym University College of Medicine, Korea.
- 9Department of Dermatology, Chonnam National University College of Medicine, Korea.
Abstract
- BACKGROUND
There are no serologic markers that accurately reflect the severity of atopic dermatitis (AD), many different scoring systems used in clinical practice and for research purposes have been developed for assessing the severity of AD.
OBJECTIVE
The goal of the present study was to evaluate the correlations between severity scoring systems of AD and clinical assessments of physicians and patients.
METHODS
We graded the severity of 418 AD patients, applying the SCORing of Atopic Dermtaitis (SCORAD), Objective SCORAD (oSCORAD), Eczema Area and Severity Index (EASI), Three Item Severity score, Rajka and Langeland score. Also, we evaluated the Physician's Global Assessment (PGA) and Visual Analog Scale (VAS) of pruritus and sleep loss.
RESULTS
here was significant positive correlation between oSCORAD and EASI and oSCORAD showed a good correlation with the other severity scoring systems. oSCORAD was highly correlated with PGA and VAS of pruritus and sleep loss. oSCORAD demonstrated the greatest correlation with body surface area, showing a linear relation.
CONCLUSION
oSCORAD can assess the severity of AD with reflecting clinical assessments of physicians and patients and disease extent.
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