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Development and Validation of Diagnostic Criteria for Elderly Atopic Dermatitis

Development and Validation of Diagnostic Criteria for Elderly Atopic Dermatitis

摘要Objective::Elderly atopic dermatitis (AD) is a newly identified subtype of AD. Whether specific diagnostic criteria are needed for elderly AD has been debated. This study aimed to propose diagnostic criteria for elderly AD and evaluate the sensitivity.Methods::A hospital-based study was conducted. We screened the clinical features of 1,312 patients with AD of different ages in 1 cohort and proposed a set of diagnostic criteria for elderly AD. The criteria were then validated in another cohort of 223 patients clinically diagnosed with elderly AD by dermatologists specialized in AD to examine the diagnostic sensitivity compared with other criteria by chi-square test.Results::Based on the patients’ clinical features, a set of diagnostic criteria for elderly AD were proposed. The new diagnostic criteria showed significantly higher sensitivity than the classical diagnostic criteria ( P < 0.001), especially for mild and moderate AD ( P < 0.001). Of all 223 patients with elderly AD, 93.3% fulfilled our criteria, while only 43.5%, 65.5%, and 52.0% fulfilled the Hanifin and Rajka criteria, the Japanese Dermatology Academy criteria, and the United Kingdom Working Party criteria, respectively. Conclusion::The newly proposed criteria for elderly AD yielded high diagnostic sensitivity, particularly for mild and moderate AD.

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abstractsObjective::Elderly atopic dermatitis (AD) is a newly identified subtype of AD. Whether specific diagnostic criteria are needed for elderly AD has been debated. This study aimed to propose diagnostic criteria for elderly AD and evaluate the sensitivity.Methods::A hospital-based study was conducted. We screened the clinical features of 1,312 patients with AD of different ages in 1 cohort and proposed a set of diagnostic criteria for elderly AD. The criteria were then validated in another cohort of 223 patients clinically diagnosed with elderly AD by dermatologists specialized in AD to examine the diagnostic sensitivity compared with other criteria by chi-square test.Results::Based on the patients’ clinical features, a set of diagnostic criteria for elderly AD were proposed. The new diagnostic criteria showed significantly higher sensitivity than the classical diagnostic criteria ( P < 0.001), especially for mild and moderate AD ( P < 0.001). Of all 223 patients with elderly AD, 93.3% fulfilled our criteria, while only 43.5%, 65.5%, and 52.0% fulfilled the Hanifin and Rajka criteria, the Japanese Dermatology Academy criteria, and the United Kingdom Working Party criteria, respectively. Conclusion::The newly proposed criteria for elderly AD yielded high diagnostic sensitivity, particularly for mild and moderate AD.

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作者 Wang Shang-Shang [1] Li Zheng [1] Gu Chao-Ying [1] Yin Hui-Bin [1] Wu Yue-Meng [1] Yao Xu [2] Li Wei [1] 学术成果认领
作者单位 Department of Dermatology, Shanghai Institute of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, China [1] Department of Allergy and Rheumatology, Jiangsu Key Laboratory of Molecular Biology for Skin Diseases and STIs, Hospital for Skin Diseases (Institute of Dermatology), Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing, Jiangsu 210042, China [2]
栏目名称 Original Article
DOI 10.1097/JD9.0000000000000349
发布时间 2025-03-04
基金项目
Natural Science Foundation of China National Key R&D Program of China CAMS Innovation Fund for Medical Sciences (CIFMS) Clinical Research Plan of SHDC Key Project of the Innovation Program of Shanghai Municipal Education Commission Nanjing Incubation Program for National Clinical Research Centre Key Project of Social Development in Jiangsu Province
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