Browse > Article
http://dx.doi.org/10.5124/jkma.2014.57.3.212

Various diagnostic criteria for atopic dermatitis  

Lee, Seung-Chul (Department of Dermatology, Chonnam National University Medical School)
Publication Information
Journal of the Korean Medical Association / v.57, no.3, 2014 , pp. 212-217 More about this Journal
Abstract
Atopic dermatitis (AD) is one of the common forms of eczema in children, manifesting with chronic, relapsing attacks of skin eruptions with severe pruritus. Unfortunately, there is no consensus on the definition of AD or diagnostic criteria for AD. Therefore, various diagnostic criteria for AD have been proposed so far, which can be divided into a hospital- or community-setting. This paper reviews representative diagnostic criteria for AD among the proposed criteria. Hanfiin and Rajka's criteria is regarded as a 'gold standard' for AD diagnosis in a hospital-setting. AD diagnosis is made by combining the positive findings from skin symptoms, past history, and laboratory results. For epidemiological surveys in a community-setting, the International Study of Asthma and Allergies in Childhood (ISAAC), is commonly used worldwide as a questionnaire-based diagnostic criterion. For a community-setting, however, new diagnostic criteria with a good sensitivity and specificity need to be developed for epidemiological research as well as clinical consultations with patients.
Keywords
Atopic dermatitis; Diagnostic criteria; Epidemiological survey;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Brenninkmeijer EE, Schram ME, Leeflang MM, Bos JD, Spuls PI. Diagnostic criteria for atopic dermatitis: a systematic review. Br J Dermatol 2008;158:754-765.   DOI   ScienceOn
2 Kang KF, Tian RM. Criteria for atopic dermatitis in a Chinese population. Acta Derm Venereol Suppl (Stockh) 1989;144:26-27.
3 Williams H, Stewart A, von Mutius E, Cookson W, Anderson HR; International Study of Asthma and Allergies in Childhood (ISAAC) Phase One and Three Study Groups. Is eczema really on the increase worldwide? J Allergy Clin Immunol 2008;121:947-954.   DOI   ScienceOn
4 Leung DY, Bieber T. Atopic dermatitis. Lancet 2003;361:151-160.   DOI   ScienceOn
5 Hanifin JM, Rajka G. Diagnostic features of atopic dermatitis. Acta Derm Venereol (Stockh) 1980;92(Suppl):44-47.
6 Schultz Larsen F, Hanifin JM. Secular change in the occurrence of atopic dermatitis. Acta Derm Venereol Suppl (Stockh) 1992;176:7-12.
7 Williams HC, Burney PG, Pembroke AC, Hay RJ. The UK Work-ing Party's diagnostic criteria for atopic dermatitis. III. Inde-pendent hospital validation. Br J Dermatol 1994;131:406-416.   DOI   ScienceOn
8 Asher MI, Keil U, Anderson HR, Beasley R, Crane J, Martinez F, Mitchell EA, Pearce N, Sibbald B, Stewart AW, Strachan D, Weiland SK, Williams HC. International Study of Asthma and Allergies in Childhood (ISAAC): rationale and methods. Eur Respir J 1995;8:483-491.   DOI   ScienceOn
9 Tagami H Japanese Dermatology Association criteria for the diagnosis of atopic dermatitis. J Dermatol 1995;22:966-967.   DOI
10 Bos JD, Van Leent EJ, Sillevis Smitt JH. The millennium criteria for the diagnosis of atopic dermatitis. Exp Dermatol 1998;7:132-138.   DOI   ScienceOn
11 Park YL, Kim HD, Kim KH, Kim MN, Kim JW, Ro YS, Park CW, Lee KH, Lee AY, Cho SH, Choi JH. Report from ADRG: a study on the diagnositic criteria of Korean atopic dermatitis. Korean J Dermatol 2006;44:659-663.
12 Choi WJ, Ko JY, Kim JW, Lee KH, Park CW, Kim KH, Kim MN, Lee AY, Cho SH, Park YL, Choi JH, Seo SJ, Lee YW, Roh JY, Park YM, Kim DJ, Ro YS. Prevalence and risk factors for atopic derma-titis: a cross-sectional study of 6,453 Korean preschool children. Acta Derm Venereol 2012;92:467-471.   DOI   ScienceOn
13 Czarnobilska E, Obtulowicz K, Dyga W, Spiewak R. A half of schoolchildren with 'ISAAC eczema' are ill with allergic contact dermatitis. J Eur Acad Dermatol Venereol 2011;25:1104-1107.   DOI   ScienceOn