A study on the Severity Scoring Systems of Atopic Dermatitis ; comparison, Analysis and Establishment of childhood patients in Oriental Medicine

아토피 피부염의 중증도 평가방법에 대한 제언 ; 비교 분석 및 소아 환자의 평가방법에 대한 설립

  • Seo, Jung-Min (Department of Pediatrics, Prescription College of Oriental Medicine, Daegu Haany University) ;
  • Kim, Sang-Chan (Department of Pediatrics, Ophthalmology College of Oriental Medicine, Daegu Haany University) ;
  • Hwang, Sun-Yi (Department of Pediatrics, Otolaryngology College of Oriental Medicine, Daegu Haany University) ;
  • Hwang, Bo-Min (Department of Pediatrics, Otolaryngology College of Oriental Medicine, Daegu Haany University) ;
  • Jee, Seon Young (Department of Pediatrics, Otolaryngology College of Oriental Medicine, Daegu Haany University) ;
  • Lee, Sang-Gon (Department of Pediatrics, Otolaryngology College of Oriental Medicine, Daegu Haany University) ;
  • Baek, Jung-Han (Department of Pediatrics, Otolaryngology College of Oriental Medicine, Daegu Haany University)
  • 서정민 (대구한의대학교 한의과대학 소아과학교실) ;
  • 김상찬 (대구한의대학교 한의과대학 방제학교실) ;
  • 황순이 (대구한의대학교 한의과대학 안이비인후피부과교실) ;
  • 황보민 (대구한의대학교 한의과대학 안이비인후피부과교실) ;
  • 지선영 (대구한의대학교 한의과대학 안이비인후피부과교실) ;
  • 이상곤 (대구한의대학교 한의과대학 안이비인후피부과교실) ;
  • 백정한 (대구한의대학교 한의과대학 안이비인후피부과교실)
  • Published : 2006.04.30

Abstract

Objective : As prevalence of atopic dermatitis(AD) rises and medicine of atopic dematitis develops, the methods of measurement for atopic dermatitis have developed. Therefore, we aimed to establish a new sconring system in oriental medicine for a childhood atopic dematitis, by comparison, analysis of various sconing systems. Method : We searched for the data related to severity sconing systems of atopic dermatitis in Entrez PubMed on abroad thesis and KISS(Korenstdued Information Service System) on domestic thesis from 1990 to 2005. Result : Severity sconing systems for atopic dermatitis satisfy validity, reliability, sensitivity of change and verification of this. The essential items of severity sconing systems are extent, intensity and subjective symptoms. The lesion is divided into 9 areas(head and neck, upper limbs, elbow, hands, trunk, hip and inguinal, lower limbs, knee, feet). The items of intensity are erythema, oedema and induration and papulation, oozing and weeping and erosion, excorition, scaling, lichenification. The subjective symptom is pruritis, evaluated according to sleep loss and obstruction of play and study. The extent and intensity is evaluated in combination. We suggested that extent and intensity occupied for 70% and subject symptoms accounted for 30% of total score.

Keywords