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KMID : 0614720140570030212
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Journal of Korean Medical Association
2014 Volume.57 No. 3 p.212 ~ p.217
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Various diagnostic criteria for atopic dermatitis
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Lee Seung-Chul
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Abstract
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Atopic dermatitis (AD) is one of the common forms of eczema in children, manifesting with chronic, relapsing attacks of skin eruptions with severe pruritus. Unfortunately, there is no consensus on the definition of AD or diagnostic criteria for AD. Therefore, various diagnostic criteria for AD have been proposed so far, which can be divided into a hospital- or community-setting. This paper reviews representative diagnostic criteria for AD among the proposed criteria. Hanfiin and Rajka’s criteria is regarded as a ’gold standard. for AD diagnosis in a hospital-setting. AD diagnosis is made by combining the positive findings from skin symptoms, past history, and laboratory results. For epidemiological surveys in a community-setting, the International Study of Asthma and Allergies in Childhood (ISAAC), is commonly used worldwide as a questionnaire-based diagnostic criterion. For a community-setting, however, new diagnostic criteria with a good sensitivity and specificity need to be developed for epidemiological research as well as clinical consultations with patients.
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KEYWORD
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Atopic dermatitis, Diagnostic criteria, Epidemiological survey
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