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Do we need another symptom score for childhood eczema?

Aim: It is important to objectively measure the severity of atopic dermatitis (AD). This study aims to investigate correlations among various clinical severity scores and determine how a severity score based on symptoms alone performs. Methods: A Chinese-translated symptom score based on Patient-Ori...

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Published in:The Journal of dermatological treatment 2018-07, Vol.29 (5), p.510-514
Main Authors: Hon, Kam Lun, Kung, Jeng Sum Charmaine, Tsang, Kathy Yin Ching, Yu, Jasmine Wai Sum, Cheng, Nam Sze, Leung, Ting Fan
Format: Article
Language:English
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Summary:Aim: It is important to objectively measure the severity of atopic dermatitis (AD). This study aims to investigate correlations among various clinical severity scores and determine how a severity score based on symptoms alone performs. Methods: A Chinese-translated symptom score based on Patient-Oriented Eczema Measure (POEM, a short-term subjective-symptom score), Scoring Atopic Dermatitis (SCORAD, a short-term subjective-symptom and objective-sign score), Nottingham Eczema Severity Score (NESS, a long-term subjective symptoms + objective signs), Children Dermatology Life Quality Index (CDLQI, a short-term subjective-symptom score), skin hydration (SH) and transepidermal water loss (TEWL) were compared and Spearman's rho correlations was evaluated. Results: 126 sets of clinical scores from eczema patients (mean age: 11.4 ± 5.6 years; 34.7% male) were evaluated. The modified-POEM, objective SCORAD, NESS and CDLQI correlated well with each other. All round, best correlations were obtained with POEM: Objective SCORAD (rho = 0.7, p 
ISSN:0954-6634
1471-1753
DOI:10.1080/09546634.2017.1373734