Yong Hyun Jang, Seung Soo Lee, Do Young Park, Young Lee, Do-Young Kim, Hyunsun Park, Hyun-Tae Shin, Jung Eun Kim, Kihyuk Shin, Ji Hae Lee, Jee Woong Choi, Byung Choel Park, Beom Joon Kim, Soo Hong Seo, Chong Hyun Won, Jin Park, Min Sung Kim, Sang Seok Kim, Bark-Lynn Lew, Chang-Hun Huh, Ohsang Kwon, Yang Won Lee, Moon-Bum Kim
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Currently, no guidelines are universally accepted for defining AA severity.</p><p><strong>Objective: </strong>This study aimed to establish a set of consensus criteria for classifying the severity of and identifying treatment refractoriness in AA.</p><p><strong>Methods: </strong>A preliminary draft of the definition for moderate-to-severe AA was crafted based on available evidence, and members of the Korean Hair Research Society (KHRS) subsequently endorsed the recommendation through an online survey.</p><p><strong>Results: </strong>In the first Delphi round, consensus was attained on 15 questions. After refining certain items in the second round, consensus was achieved on 23 out of 26 questions. The KHRS first defined AA severity using the severity of alopecia tool (SALT). SALT ≥50 was defined as severe, 20≤ SALT <50 as moderate, and SALT <20 as mild. Moderate AA was considered severe if it meets one or more of the following criteria: dermatology life quality index >10, presence of accompanying eyebrow or eyelash loss, positive hair loss activity, or treatment-refractory AA.</p><p><strong>Conclusion: </strong>These consensus criteria can help clinicians accurately diagnose AA, provide appropriate treatment, and monitor its progression.</p>","PeriodicalId":94298,"journal":{"name":"Annals of dermatology","volume":"36 4","pages":"236-246"},"PeriodicalIF":0.0000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11291096/pdf/","citationCount":"0","resultStr":"{\"title\":\"Korean Consensus Criteria for the Severity Classification of Alopecia Areata.\",\"authors\":\"Yong Hyun Jang, Seung Soo Lee, Do Young Park, Young Lee, Do-Young Kim, Hyunsun Park, Hyun-Tae Shin, Jung Eun Kim, Kihyuk Shin, Ji Hae Lee, Jee Woong Choi, Byung Choel Park, Beom Joon Kim, Soo Hong Seo, Chong Hyun Won, Jin Park, Min Sung Kim, Sang Seok Kim, Bark-Lynn Lew, Chang-Hun Huh, Ohsang Kwon, Yang Won Lee, Moon-Bum Kim\",\"doi\":\"10.5021/ad.24.058\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>A set of criteria for severity classification is essential in alopecia areata (AA). 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引用次数: 0
摘要
背景：对于斑秃（AA）而言，一套严重程度分类标准至关重要。目前，还没有公认的准则来定义 AA 的严重程度：本研究旨在建立一套共识标准，用于对 AA 的严重程度进行分类并确定治疗难治性：方法：根据现有证据起草了中重度 AA 的定义初稿，韩国毛发研究学会（KHRS）成员随后通过在线调查认可了该建议：结果：在第一轮德尔菲讨论中，就 15 个问题达成了共识。在第二轮对某些问题进行改进后，26 个问题中有 23 个达成了共识。KHRS 首先使用脱发严重程度工具（SALT）来定义 AA 的严重程度。SALT≥50定义为严重，20≤SALT 10、伴有眉毛或睫毛脱落、脱发活动阳性或治疗难治性AA：这些共识标准可帮助临床医生准确诊断 AA，提供适当的治疗并监测其进展。
Korean Consensus Criteria for the Severity Classification of Alopecia Areata.
Background: A set of criteria for severity classification is essential in alopecia areata (AA). Currently, no guidelines are universally accepted for defining AA severity.
Objective: This study aimed to establish a set of consensus criteria for classifying the severity of and identifying treatment refractoriness in AA.
Methods: A preliminary draft of the definition for moderate-to-severe AA was crafted based on available evidence, and members of the Korean Hair Research Society (KHRS) subsequently endorsed the recommendation through an online survey.
Results: In the first Delphi round, consensus was attained on 15 questions. After refining certain items in the second round, consensus was achieved on 23 out of 26 questions. The KHRS first defined AA severity using the severity of alopecia tool (SALT). SALT ≥50 was defined as severe, 20≤ SALT <50 as moderate, and SALT <20 as mild. Moderate AA was considered severe if it meets one or more of the following criteria: dermatology life quality index >10, presence of accompanying eyebrow or eyelash loss, positive hair loss activity, or treatment-refractory AA.
Conclusion: These consensus criteria can help clinicians accurately diagnose AA, provide appropriate treatment, and monitor its progression.
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