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Quantification of the Extent and the Severity of Atopic Dermatitis: The ADASI Score

Quantification of the Extent and the Severity of Atopic Dermatitis: The ADASI Score Abstract To the Editor.— The assessment of the area and of the severity of atopic dermatitis is of considerable importance.1 Unfortunately, the current scoring systems are rather complicated.1,2 Thus, we propose a simple scoring system based on color coding of diseased areas according to their severity on body schemes. The extent of the colored areas is evaluated by point counting. We use the following color coding: green, discret erythema with or without some scaling, no infiltration; blue, erythema with some infiltration, more or less scaling; and red, marked erythema with infiltration, with or without scaling; or lichenification with or without excoriation, with or without superinfection.The area fractions of the colored parts on the schemes (height about 18 cm) are determined by point counting with a grid of parallel lines 2-cm apart (Figure). The number of points on the area to be determined, divided by the total number of References 1. Rajka G, Langeland T. Grading of the severity of atopic dermatitis . Acta Derm Venereol. 1989;( (suppl) )144:13-14. 2. Hanifin JM. Standardizing grading subjects for clinical research studies in atopic dermatitis: workshop report . Acta Derm Venereol. 1989;( (suppl 144) ):28-30. 3. Gundersen HJG, Jensen EB. The efficiency of systematic sampling in stereology and its prediction . J Microsc. 1987;147:229-263.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Quantification of the Extent and the Severity of Atopic Dermatitis: The ADASI Score

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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1991.01680070141025
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.— The assessment of the area and of the severity of atopic dermatitis is of considerable importance.1 Unfortunately, the current scoring systems are rather complicated.1,2 Thus, we propose a simple scoring system based on color coding of diseased areas according to their severity on body schemes. The extent of the colored areas is evaluated by point counting. We use the following color coding: green, discret erythema with or without some scaling, no infiltration; blue, erythema with some infiltration, more or less scaling; and red, marked erythema with infiltration, with or without scaling; or lichenification with or without excoriation, with or without superinfection.The area fractions of the colored parts on the schemes (height about 18 cm) are determined by point counting with a grid of parallel lines 2-cm apart (Figure). The number of points on the area to be determined, divided by the total number of References 1. Rajka G, Langeland T. Grading of the severity of atopic dermatitis . Acta Derm Venereol. 1989;( (suppl) )144:13-14. 2. Hanifin JM. Standardizing grading subjects for clinical research studies in atopic dermatitis: workshop report . Acta Derm Venereol. 1989;( (suppl 144) ):28-30. 3. Gundersen HJG, Jensen EB. The efficiency of systematic sampling in stereology and its prediction . J Microsc. 1987;147:229-263.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Aug 1, 1991

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