2023年韩国特应性皮炎诊断标准共识
2023 Consensus Korean Diagnostic Criteria for Atopic Dermatitis.
作者信息
Lee Ji Hyun, Lee Sul Hee, Bae Youin, Lee Young Bok, Jang Yong Hyun, Ahn Jiyoung, Ko Joo Yeon, Ko Hyun-Chang, Kim Hye One, Na Chan Ho, Seo Young-Joon, Shin Min Kyung, Woo Yu Ri, Lew Bark Lyn, Lee Dong Hun, Lee Sang Eun, Jeon Jiehyun, Choi Sun Young, Han Tae Young, Lee Yang Won, Son Sang Wook, Park Young Lip
机构信息
Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Dermatology, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
出版信息
Ann Dermatol. 2025 Feb;37(1):12-21. doi: 10.5021/ad.24.049.
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.
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，有人提出了更简化、实用的AD诊断标准。
目的
基于更新的标准和经验，我们开展研究以制定韩国人AD诊断标准并就其达成共识。
材料与方法
对于诊断标准，通过检索MEDLINE中的英文文献和Cochrane系统评价数据库构建了一份调查问卷。共识过程采用由三轮电子邮件问卷组成的改良德尔菲法。54名KADA理事会成员参与了三轮投票，并确立了专家共识建议。
结果
AD的诊断标准包括瘙痒、具有特定年龄模式的湿疹以及慢性或复发性病史。AD的诊断辅助手段包括皮肤干燥、免疫球蛋白E反应性、手足湿疹、眶周改变、耳周改变、口周改变、乳头湿疹、毛囊周显著、个人或家族特应性病史。
结论
本研究简化并更新了韩国AD的诊断标准使其在实际临床领域更具实用性。
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