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Mild to moderate atopic dermatitis severity can be reliably assessed using smartphone‐photographs taken by the patient at home: A validation study
BACKGROUND: The use of photographs to diagnose and monitor skin diseases is gaining ground. OBJECTIVES: To investigate the validity and reliability of photographic assessments of atopic dermatitis (AD) severity. METHODS: AD severity was evaluated in the clinic by two assessors using the Eczema Area...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9907712/ https://www.ncbi.nlm.nih.gov/pubmed/35020960 http://dx.doi.org/10.1111/srt.13136 |
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author | Ali, Zarqa Chiriac, Andrei Bjerre‐Christensen, Theis Isberg, Ari Pall Dahiya, Priyanka Manole, Ionela Dutei, Ana‐Maria Deaconescu, Irina Serban, Adina Suru, Alina Agner, Tove Kamstrup, Maria Rørbæk Togsverd‐Bo, Katrine Zibert, John Robert Thomsen, Simon Francis Andersen, Anders Daniel |
author_facet | Ali, Zarqa Chiriac, Andrei Bjerre‐Christensen, Theis Isberg, Ari Pall Dahiya, Priyanka Manole, Ionela Dutei, Ana‐Maria Deaconescu, Irina Serban, Adina Suru, Alina Agner, Tove Kamstrup, Maria Rørbæk Togsverd‐Bo, Katrine Zibert, John Robert Thomsen, Simon Francis Andersen, Anders Daniel |
author_sort | Ali, Zarqa |
collection | PubMed |
description | BACKGROUND: The use of photographs to diagnose and monitor skin diseases is gaining ground. OBJECTIVES: To investigate the validity and reliability of photographic assessments of atopic dermatitis (AD) severity. METHODS: AD severity was evaluated in the clinic by two assessors using the Eczema Area and Severity Index (EASI), SCOring Atopic Dermatitis (SCORAD), and Investigator's Global Assessment (IGA). Participants photographed the lesions with their own smartphone and completed a questionnaire about the extent of eczema the same day from home. The photographs were assessed twice with an 8 weeks interval by five dermatologists experienced in photographic evaluations. Intraclass correlation coefficients (ICC) with 95% confidence interval (CI) were applied. RESULTS: Seventy‐nine participants were enrolled. The ICC between clinical EASI and photographic EASI was 0.88 (95% CI 0.81–0.93), and 0.86 (0.70–0.93) between clinical SCORAD and photographic SCORAD. Perfect agreement between clinical IGA and photograph IGA was observed for 62%, with the difference between the two never deviating with more than 1 score. The inter‐rater ICC for photographic EASI and photographic SCORAD, respectively, was 0.90 (0.85–0.94), and 0.96 (0.91–0.98). The intra‐rater agreements between the first and second assessments varied from 0.95 to 0.98 for photographic EASI, and from 0.86 to 0.94 for photographic SCORAD. CONCLUSION: There was high agreement between mild to moderate AD severity assessed clinically and based on smartphone photographs. Further, the photographic assessments can be reproduced with high reliability. |
format | Online Article Text |
id | pubmed-9907712 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99077122023-04-13 Mild to moderate atopic dermatitis severity can be reliably assessed using smartphone‐photographs taken by the patient at home: A validation study Ali, Zarqa Chiriac, Andrei Bjerre‐Christensen, Theis Isberg, Ari Pall Dahiya, Priyanka Manole, Ionela Dutei, Ana‐Maria Deaconescu, Irina Serban, Adina Suru, Alina Agner, Tove Kamstrup, Maria Rørbæk Togsverd‐Bo, Katrine Zibert, John Robert Thomsen, Simon Francis Andersen, Anders Daniel Skin Res Technol Original Articles BACKGROUND: The use of photographs to diagnose and monitor skin diseases is gaining ground. OBJECTIVES: To investigate the validity and reliability of photographic assessments of atopic dermatitis (AD) severity. METHODS: AD severity was evaluated in the clinic by two assessors using the Eczema Area and Severity Index (EASI), SCOring Atopic Dermatitis (SCORAD), and Investigator's Global Assessment (IGA). Participants photographed the lesions with their own smartphone and completed a questionnaire about the extent of eczema the same day from home. The photographs were assessed twice with an 8 weeks interval by five dermatologists experienced in photographic evaluations. Intraclass correlation coefficients (ICC) with 95% confidence interval (CI) were applied. RESULTS: Seventy‐nine participants were enrolled. The ICC between clinical EASI and photographic EASI was 0.88 (95% CI 0.81–0.93), and 0.86 (0.70–0.93) between clinical SCORAD and photographic SCORAD. Perfect agreement between clinical IGA and photograph IGA was observed for 62%, with the difference between the two never deviating with more than 1 score. The inter‐rater ICC for photographic EASI and photographic SCORAD, respectively, was 0.90 (0.85–0.94), and 0.96 (0.91–0.98). The intra‐rater agreements between the first and second assessments varied from 0.95 to 0.98 for photographic EASI, and from 0.86 to 0.94 for photographic SCORAD. CONCLUSION: There was high agreement between mild to moderate AD severity assessed clinically and based on smartphone photographs. Further, the photographic assessments can be reproduced with high reliability. John Wiley and Sons Inc. 2022-01-12 /pmc/articles/PMC9907712/ /pubmed/35020960 http://dx.doi.org/10.1111/srt.13136 Text en © 2022 The Authors. Skin Research and Technology published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Ali, Zarqa Chiriac, Andrei Bjerre‐Christensen, Theis Isberg, Ari Pall Dahiya, Priyanka Manole, Ionela Dutei, Ana‐Maria Deaconescu, Irina Serban, Adina Suru, Alina Agner, Tove Kamstrup, Maria Rørbæk Togsverd‐Bo, Katrine Zibert, John Robert Thomsen, Simon Francis Andersen, Anders Daniel Mild to moderate atopic dermatitis severity can be reliably assessed using smartphone‐photographs taken by the patient at home: A validation study |
title | Mild to moderate atopic dermatitis severity can be reliably assessed using smartphone‐photographs taken by the patient at home: A validation study |
title_full | Mild to moderate atopic dermatitis severity can be reliably assessed using smartphone‐photographs taken by the patient at home: A validation study |
title_fullStr | Mild to moderate atopic dermatitis severity can be reliably assessed using smartphone‐photographs taken by the patient at home: A validation study |
title_full_unstemmed | Mild to moderate atopic dermatitis severity can be reliably assessed using smartphone‐photographs taken by the patient at home: A validation study |
title_short | Mild to moderate atopic dermatitis severity can be reliably assessed using smartphone‐photographs taken by the patient at home: A validation study |
title_sort | mild to moderate atopic dermatitis severity can be reliably assessed using smartphone‐photographs taken by the patient at home: a validation study |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9907712/ https://www.ncbi.nlm.nih.gov/pubmed/35020960 http://dx.doi.org/10.1111/srt.13136 |
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