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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
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.
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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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