Department of Dermatology, Allergy Unit, University Hospital Zürich, Zürich, Switzerland.
Dermatology. 2011;223(1):68-73. doi: 10.1159/000330333. Epub 2011 Aug 25.
Different scoring systems have been developed to determine the severity of atopic dermatitis (AD); the SCORAD (Scoring Atopic Dermatitis) and EASI (Eczema Area and Severity Index) are among the best-validated scoring systems.
The aim of this study was to produce a rational quality control for routine clinical use by using the modern facilities of digital imaging.
63 AD patients were scored by a single person at each visit using the SCORAD and EASI scoring methods. Images were taken and rated by two non-dermatology physicians trained in the scoring system. In addition, blood samples were taken for the determination of total IgE, eosinophils and eosinophilic cationic protein.
The EASI score established from the digital images, hereby named 'EASIdig', correlated at all visits with the results of the SCORAD and EASI. Together with immunological parameters, they also reflected changes of disease severity during the 3 time points.
The digital evaluation of the EASI is a reliable tool for the digital assessment of severity and extent of AD.
已经开发出不同的评分系统来确定特应性皮炎（AD）的严重程度；SCORAD（特应性皮炎评分）和 EASI（湿疹面积和严重程度指数）是验证效果最好的评分系统之一。
本研究的目的是利用数字成像的现代设备，为常规临床应用提供合理的质量控制。
63 例 AD 患者在每次就诊时均由单人使用 SCORAD 和 EASI 评分方法进行评分。拍摄图像，并由两名接受过评分系统培训的非皮肤科医生进行评分。此外，还采集血液样本以测定总 IgE、嗜酸性粒细胞和嗜酸性阳离子蛋白。
从数字图像中得出的 EASI 评分，命名为“EASIdig”，在所有就诊时均与 SCORAD 和 EASI 的结果相关。与免疫参数一起，它们还反映了疾病严重程度在 3 个时间点的变化。
EASI 的数字评估是一种可靠的工具，可用于 AD 的严重程度和范围的数字评估。
