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GIORNALE ITALIANO DI DERMATOLOGIA E VENEREOLOGIA

A Journal on Dermatology and Sexually Transmitted Diseases


Official Journal of the Italian Society of Dermatology and Sexually Transmitted Diseases
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Giornale Italiano di Dermatologia e Venereologia 2005 August;140(4):389-95

language: English, Italian

Childhood atopic dermatitis. The relationship between parental and dermatologist assessment of disease severity

Mazzotti E. 1, Di Pietro C. 2, Mastroeni S. 1, Provini A. 3, Paradisi M. 3, Tabolli S. 2

1 Epidemiology Unit, Istituto Dermopatico dell'Immacolata IDI-IRCCS, Rome, Italy
2 Health Service Research Unit, Istituto Dermopatico dell'Immacolata, IDI-IRCCS, Rome, Italy
3 Pediatric Unit, Istituto Dermopatico dell'Immacolata, IDI-IRCCS, Rome, Italy


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Aim. The instruments to measure the severity of atopic dermatitis (AD) are time consuming, so their use is limited in routine clinical practice. The self administered eczema area severity index (SA-EASI) was developed and validated for a caregiver’s self assessment of the severity of child’s AD. The aim of this study was to assess the relationship between the SA-EASI and SCORing atopic dermatitis (SCORAD) tools.
Methods. Thirty-five patients with AD admitted at the Pediatric Unit of a Dermatological Hospital in Rome, Italy, and their parents, participated in the study. The severity of the disease has been assessed at admission, by parents using the SA-EASI, and by dermatologists using the SCORAD, independently.
Results. Evidence of convergent validity was provided by high correlation between SA-EASI and SCORAD (Rank Spearman rs=0.71; P<0.001).
Conclusion. Both instruments are useful in daily clinical practice and in the research on outcomes. The parents received no training in the measurement of eczema and no training in the use of the SA-EASI instrument itself. SA-EASI, moreover promotes the involvement of families with an affected child.

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