Laird Mary, Lo Sicco Kristen
The Ronald O. Perelman Department of Dermatology, New York University Langone Health, New York, NY, USA.
Adv Exp Med Biol. 2017;1027:93-104. doi: 10.1007/978-3-319-64804-0_9.
Atopic dermatitis (AD) has no definitive diagnostic test and has a large range of phenotypes, making it a difficult disease to assess and define. However, an agreed-upon definition of AD is important for clinical trials, population-based studies, and clinical practice. Several diagnostic criteria systems have been proposed to fill these needs, with none considered the gold standard. To further aid in standardized assessment of AD patients, numerous disease severity and quality of life measurement tools have been proposed. There is similarly no gold standard and efforts are ongoing to develop a single consensus scale. Finally, assessment of AD-associated comorbidities, including allergic/immunologic conditions, psychiatric disorders, and metabolic/cardiac conditions, is important when evaluating this patient population.
特应性皮炎(AD)没有确定性的诊断测试,且有多种表型,这使得它成为一种难以评估和定义的疾病。然而,对于AD达成共识的定义对于临床试验、基于人群的研究以及临床实践都很重要。已经提出了几种诊断标准系统来满足这些需求,但没有一种被视为金标准。为了进一步辅助对AD患者进行标准化评估,已经提出了许多疾病严重程度和生活质量测量工具。同样也没有金标准,并且正在努力开发一个单一的共识量表。最后,在评估这一患者群体时,评估与AD相关的合并症,包括过敏/免疫性疾病、精神障碍以及代谢/心脏疾病,是很重要的。