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Acne Grading Methods

Acne Grading Methods This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor.— Cook et al presented a photographic method of evaluating acne patients in the May Archives (115:571-575, 1979). They proposed a procedure for observing patients in clinical study groups. It would be a mistake to replace the current standard of lesion counts with their system for many reasons. Photographic evaluation is inherently more subjective than an actual count. Color changes in the skin can influence the scoring in either direction. Clearing lesions, healing excoriations, and darkening of the skin following sun exposure would all affect a photographic system of grading. Black patients in particular would be poorly scored by that system but pose no problem when lesion counts are used. Is there some reason why no black patients are described by Cook et al in the photographic standards?Palpation, which is important in "scoring" acne, is impossible to do with a picture. The authors argue that "Counting the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1980.01640290027005
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor.— Cook et al presented a photographic method of evaluating acne patients in the May Archives (115:571-575, 1979). They proposed a procedure for observing patients in clinical study groups. It would be a mistake to replace the current standard of lesion counts with their system for many reasons. Photographic evaluation is inherently more subjective than an actual count. Color changes in the skin can influence the scoring in either direction. Clearing lesions, healing excoriations, and darkening of the skin following sun exposure would all affect a photographic system of grading. Black patients in particular would be poorly scored by that system but pose no problem when lesion counts are used. Is there some reason why no black patients are described by Cook et al in the photographic standards?Palpation, which is important in "scoring" acne, is impossible to do with a picture. The authors argue that "Counting the

Journal

Archives of DermatologyAmerican Medical Association

Published: May 1, 1980

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