Department of Dermatology, Graduate School of Medical Sciences, Kyushu University, 812-8582 Fukuoka, Japan. E-mail:
Acta Derm Venereol. 2020 May 28;100(10):adv00159. doi: 10.2340/00015555-3530.
The Patient-Oriented Eczema Measure (POEM, 0-28 points) is a self-assessed, repeatable measurement tool for measuring atopic dermatitis (AD) severity. How-ever, whether POEM score is influenced by allergic comorbidities and whether POEM's severity banding is applicable in web-based surveys for AD remain unclear. A web-based questionnaire survey was conducted in 329 patients with AD. POEM, self-reported severity of AD, and comorbidity of allergic diseases including asthma, pollen rhinitis, allergic conjunctivitis, and food allergy were assessed. POEM scores were not affected by a history of comorbid allergic diseases. The severity banding for POEM scores on the web-based survey was as follows: clear/almost clear = 0, mild = 1-8, moderate = 9-21, and severe/very severe = 22-28, which was comparable to previous banding. These results suggest that POEM is useful for determining AD severity, even in web-based surveys. Patients with POEM scores above 9 points may be grouped into moderate, severe, and very severe AD.
患者导向湿疹量表(POEM,0-28 分)是一种自我评估、可重复的特应性皮炎(AD)严重程度测量工具。然而,POEM 评分是否受过敏合并症影响,以及 POEM 的严重程度分级在 AD 的网络调查中是否适用仍不清楚。对 329 例 AD 患者进行了网络问卷调查。评估了 POEM、AD 自我报告严重程度以及哮喘、花粉症、过敏性结膜炎和食物过敏等过敏性疾病的合并症。过敏合并症病史并不影响 POEM 评分。网络调查中 POEM 评分的严重程度分级如下:无/几乎无=0,轻度=1-8,中度=9-21,重度/非常重度=22-28,与以往分级相当。这些结果表明,即使在网络调查中,POEM 也可用于确定 AD 的严重程度。POEM 评分高于 9 分的患者可分为中度、重度和非常重度 AD。