Mild-to-moderate severity of psoriasis may be assessed remotely based on photographs and self-reported extent of skin involvementCapsule Summary
Background: Remote monitoring was used to assess and manage skin diseases. Objective: To investigate to what extent smartphone photographs along with a self-reported body region (BR) score can be used to evaluate psoriasis severity. Methods: Psoriasis severity was assessed in the clinic using the ps...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | JAAD International |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666328723000317 |
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| author | Zarqa Ali, MD, PhD John Robert Zibert, MSc, PhD Priyanka Dahiya, MSc Cæcilie Bachdal Johansen, MD Jesper Grønlund Holm, MD, PhD Astrid-Helene Ravn Jørgensen, MD Ionela Manole, MD Alina Suru, MD Alexander Egeberg, MD, PhD, DMSc Simon Francis Thomsen, MD, PhD, DMSc Anders Daniel Andersen, MSc, PhD |
| author_facet | Zarqa Ali, MD, PhD John Robert Zibert, MSc, PhD Priyanka Dahiya, MSc Cæcilie Bachdal Johansen, MD Jesper Grønlund Holm, MD, PhD Astrid-Helene Ravn Jørgensen, MD Ionela Manole, MD Alina Suru, MD Alexander Egeberg, MD, PhD, DMSc Simon Francis Thomsen, MD, PhD, DMSc Anders Daniel Andersen, MSc, PhD |
| author_sort | Zarqa Ali, MD, PhD |
| collection | DOAJ |
| description | Background: Remote monitoring was used to assess and manage skin diseases. Objective: To investigate to what extent smartphone photographs along with a self-reported body region (BR) score can be used to evaluate psoriasis severity. Methods: Psoriasis severity was assessed in the clinic using the psoriasis area and severity index and the physician’s global assessment. On the same day, the patients took a photograph of a representative lesion from 4 BR (head/neck, upper limbs, trunk, and lower limbs) and completed a questionnaire about BR score. The photographs were rated by 5 dermatologists. Intraclass correlation coefficients with 95% CIs were calculated. Results: Overall, 32 were included, of which 6% had almost clear, 69% had mild, and 25% had moderate psoriasis. Perfect agreement between the self-reported and the doctors’ BR score was observed for 59%, and near-perfect agreement (deviation of maximum 1 score) was 92%. The intraclass correlation coefficient between clinical and photographic psoriasis area and severity index was 0.78 (95% CI, 0.55-0.90), and for physician’s global assessment, perfect agreement was 53%. Conclusions: The agreement between psoriasis severity assessed clinically and by photographs was good in a study setting. This gives the opportunity to remotely assess psoriasis severity by combining photographs with self-reported BR scores. |
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| format | Article |
| id | doaj.art-d419a74e4c8240afb44bcee3e3e50159 |
| institution | Directory Open Access Journal |
| issn | 2666-3287 |
| language | English |
| last_indexed | 2024-03-13T10:56:42Z |
| publishDate | 2023-06-01 |
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| series | JAAD International |
| spelling | doaj.art-d419a74e4c8240afb44bcee3e3e501592023-05-17T04:23:27ZengElsevierJAAD International2666-32872023-06-0111129136Mild-to-moderate severity of psoriasis may be assessed remotely based on photographs and self-reported extent of skin involvementCapsule SummaryZarqa Ali, MD, PhD0John Robert Zibert, MSc, PhD1Priyanka Dahiya, MSc2Cæcilie Bachdal Johansen, MD3Jesper Grønlund Holm, MD, PhD4Astrid-Helene Ravn Jørgensen, MD5Ionela Manole, MD6Alina Suru, MD7Alexander Egeberg, MD, PhD, DMSc8Simon Francis Thomsen, MD, PhD, DMSc9Anders Daniel Andersen, MSc, PhD10Department of Dermato-Venereology and Wound Healing Centre, Copenhagen University Hospital Bispebjerg, Denmark; Correspondence to: Zarqa Ali, MD, PhD, Department of Dermato-Venereology and Wound Healing Centre, Copenhagen University Hospital Bispebjerg, Bispebjerg Bakke 23, Copenhagen 2400, Denmark.Studies&Me A/S, Copenhagen, Denmark; Future-Brain Aps, Copenhagen, DenmarkStudies&Me A/S, Copenhagen, DenmarkDepartment of Dermato-Venereology and Wound Healing Centre, Copenhagen University Hospital Bispebjerg, DenmarkDepartment of Dermato-Venereology and Wound Healing Centre, Copenhagen University Hospital Bispebjerg, DenmarkDepartment of Dermato-Venereology and Wound Healing Centre, Copenhagen University Hospital Bispebjerg, DenmarkStudies&Me A/S, Copenhagen, Denmark; Department of Dermatology, Dermatology Research Unit, Colentina Clinical Hospital, Bucharest, RomaniaStudies&Me A/S, Copenhagen, Denmark; Paediatric Dermatology Discipline, Dermatology Research Unit, Colentina Clinical Hospital; ''Carol Davila'' University of Medicine and Pharmacy, Bucharest, RomaniaDepartment of Dermato-Venereology and Wound Healing Centre, Copenhagen University Hospital Bispebjerg, DenmarkDepartment of Dermato-Venereology and Wound Healing Centre, Copenhagen University Hospital Bispebjerg, Denmark; Department of Biomedical Sciences, University of Copenhagen, Copenhagen, DenmarkStudies&Me A/S, Copenhagen, DenmarkBackground: Remote monitoring was used to assess and manage skin diseases. Objective: To investigate to what extent smartphone photographs along with a self-reported body region (BR) score can be used to evaluate psoriasis severity. Methods: Psoriasis severity was assessed in the clinic using the psoriasis area and severity index and the physician’s global assessment. On the same day, the patients took a photograph of a representative lesion from 4 BR (head/neck, upper limbs, trunk, and lower limbs) and completed a questionnaire about BR score. The photographs were rated by 5 dermatologists. Intraclass correlation coefficients with 95% CIs were calculated. Results: Overall, 32 were included, of which 6% had almost clear, 69% had mild, and 25% had moderate psoriasis. Perfect agreement between the self-reported and the doctors’ BR score was observed for 59%, and near-perfect agreement (deviation of maximum 1 score) was 92%. The intraclass correlation coefficient between clinical and photographic psoriasis area and severity index was 0.78 (95% CI, 0.55-0.90), and for physician’s global assessment, perfect agreement was 53%. Conclusions: The agreement between psoriasis severity assessed clinically and by photographs was good in a study setting. This gives the opportunity to remotely assess psoriasis severity by combining photographs with self-reported BR scores.http://www.sciencedirect.com/science/article/pii/S2666328723000317assessmentphotographspsoriasispsoriasis vulgarisseverityteledermatology |
| spellingShingle | Zarqa Ali, MD, PhD John Robert Zibert, MSc, PhD Priyanka Dahiya, MSc Cæcilie Bachdal Johansen, MD Jesper Grønlund Holm, MD, PhD Astrid-Helene Ravn Jørgensen, MD Ionela Manole, MD Alina Suru, MD Alexander Egeberg, MD, PhD, DMSc Simon Francis Thomsen, MD, PhD, DMSc Anders Daniel Andersen, MSc, PhD Mild-to-moderate severity of psoriasis may be assessed remotely based on photographs and self-reported extent of skin involvementCapsule Summary JAAD International assessment photographs psoriasis psoriasis vulgaris severity teledermatology |
| title | Mild-to-moderate severity of psoriasis may be assessed remotely based on photographs and self-reported extent of skin involvementCapsule Summary |
| title_full | Mild-to-moderate severity of psoriasis may be assessed remotely based on photographs and self-reported extent of skin involvementCapsule Summary |
| title_fullStr | Mild-to-moderate severity of psoriasis may be assessed remotely based on photographs and self-reported extent of skin involvementCapsule Summary |
| title_full_unstemmed | Mild-to-moderate severity of psoriasis may be assessed remotely based on photographs and self-reported extent of skin involvementCapsule Summary |
| title_short | Mild-to-moderate severity of psoriasis may be assessed remotely based on photographs and self-reported extent of skin involvementCapsule Summary |
| title_sort | mild to moderate severity of psoriasis may be assessed remotely based on photographs and self reported extent of skin involvementcapsule summary |
| topic | assessment photographs psoriasis psoriasis vulgaris severity teledermatology |
| url | http://www.sciencedirect.com/science/article/pii/S2666328723000317 |
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