2023 Consensus Korean Diagnostic Criteria for Atopic Dermatitis.

Annals of dermatology Pub Date : 2025-02-01 DOI:10.5021/ad.24.049

Ji Hyun Lee, Sul Hee Lee, Youin Bae, Young Bok Lee, Yong Hyun Jang, Jiyoung Ahn, Joo Yeon Ko, Hyun-Chang Ko, Hye One Kim, Chan Ho Na, Young-Joon Seo, Min Kyung Shin, Yu Ri Woo, Bark Lyn Lew, Dong Hun Lee, Sang Eun Lee, Jiehyun Jeon, Sun Young Choi, Tae Young Han, Yang Won Lee, Sang Wook Son, Young Lip Park

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Abstract

Background: In 2006, the Korean Atopic Dermatitis Association (KADA) working group released the diagnostic criteria for Korean atopic dermatitis (AD). Recently, more simplified, and practical AD diagnostic criteria have been proposed.

Objective: Based on updated criteria and experience, we studied to develop and share a consensus on diagnostic criteria for AD in Koreans.

Materials and methods: For the diagnostic criteria, a questionnaire was constructed by searching the English-language literature in MEDLINE and the Cochrane Database of Systematic Reviews. A modified Delphi method composed of 3 rounds of email questionnaires was adopted for the consensus process. Fifty-four KADA council members participated in the 3 rounds of votes and expert consensus recommendations were established.

Results: Diagnostic criteria for AD include pruritus, eczema with age-specific pattern, and chronic or relapsing history. Diagnostic aids for AD encompass xerosis, immunoglobulin E reactivity, hand-foot eczema, periorbital changes, periauricular changes, perioral changes, nipple eczema, perifollicular accentuation, and personal or family history of atopy.

Conclusion: This study streamlined and updated the diagnostic criteria for AD in Korea, making them more practicable for use in real-world clinical field.

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2023共识韩国特应性皮炎诊断标准。

背景：2006年，韩国特应性皮炎协会（KADA）工作组发布了韩国特应性皮炎（AD）的诊断标准。最近，人们提出了更简单、更实用的AD诊断标准。目的：根据最新的标准和经验，我们研究制定并分享韩国人AD诊断标准的共识。材料和方法：在MEDLINE和Cochrane系统评价数据库中检索英文文献，构建诊断标准问卷。采用3轮电子邮件问卷的改进德尔菲法进行共识过程。54名KADA理事会成员参加了3轮投票，形成了专家共识建议。结果：AD的诊断标准包括瘙痒、年龄特异性湿疹、慢性或复发病史。AD的诊断辅助包括干燥症、免疫球蛋白E反应性、手足湿疹、眶周变化、耳周变化、口周变化、乳头湿疹、滤泡周围加重以及个人或家族特应性史。结论：本研究简化并更新了韩国AD的诊断标准，使其更适用于现实世界的临床领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Annals of dermatology

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