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KMID : 0363420060200010001
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Journal of Korean Oriental Pediatrics
2006 Volume.20 No. 1 p.1 ~ p.14
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A study on the Severity Scoring Systems of Atopic Dermatitis ; comparison, Analysis and Establishment of childhood patients in Oriental Medicine
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Seo Jeong-Min
Kim Sang-Chan
Hwangbo Min
Jee Seon-Young
Lee Sang-Kon
Baek Jung-Han
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Abstract
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Objective: As prevalence of atopic dermatitis(AD) rises and medicine of atopic dematitis develops, the methods of measurement for atopic dermatitis have developed. Therefore, we aimed to establish a new sconring system in oriental medicine for a childhood atopic dematitis, by comparison, analysis of various sconing systems.
Method: We searched for the data related to severity sconing systems of atopic dermatitis in Entrez PubMed on abroad thesis and KISS(Korenstdued Information Service System) on domestic thesis from 1990 to 2005.
Result: Severity sconing systems for atopic dermatitis satisfy validity, reliability, sensitivity of change and verification of this. The essential items of severity sconing systems are extent, intensity and subjective symptoms. The lesion is divided into 9 areas(head and neck, upper limbs, elbow, hands, trunk, hip and inguinal, lower limbs, knee, feet). The items of intensity are erythema, oedema and induration and papulation, oozing and weeping and erosion, excorition, scaling, lichenification. The subjective symptom is pruritis, evaluated according to sleep loss and obstruction of play and study. The extent and intensity is evaluated in combination. We suggested that extent and intensity occupied for 70% and subject symptoms accounted for 30% of total score.
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KEYWORD
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Atopic dermatitis, Severity sconing system, childhood patient
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