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Scoring of hand eczema: good agreement between patients and dermatological staff
Department of Dermatology, Institute of Clinical Research in Malmö, Skåne University Hospital, Lund University, Malmö.
Department of Dermatology, Institute of Clinical Research in Malmö, Skåne University Hospital, Lund University, Malmö.
Linköping University, Department of Clinical and Experimental Medicine, Dermatology and Venerology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Centre, Department of Dermatology and Venerology in Östergötland.
Unit of Occupational and Environmental Dermatology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm.
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2011 (English)In: British Journal of Dermatology, ISSN 0007-0963, E-ISSN 1365-2133, Vol. 165, no 1, 123-128 p.Article in journal (Refereed) Published
Abstract [en]

Background Assessment of hand eczema in a clinical study has been achieved using a scoring system which documents extent of eczema on different areas of the hand. Objectives To investigate whether the same scoring system could be used by patients to communicate current status of hand eczema. Methods In a study of 62 patients (36 women and 26 men, age range 1975 years), the patients own assessment was compared with the assessment by a dermatologist and a dermatological nurse. Standardized information was given to the patient and the form was filled in independently by the patient, the nurse and the dermatologist, during the patients visit to the clinic. Individual area scores were summed to a total score. Results The overall agreement was good, with an interclass correlation (ICC) of 0.61 between patient and dermatologist for the total score. The ICC between nurse and dermatologist was 0.78. Differences between observers were more pronounced for the more severe cases - those with higher numerical scores as assessed by the dermatologist. There was a tendency for women and for patients over the median age of 44 years to set a lower point score than the dermatologist. The concordance of observations from individual anatomical areas was higher for fingertips and nails and lower for the palm and dorsum of the hand. Conclusions Patients are able to report the extent of hand eczema with good accuracy. Self-assessment protocols for hand eczema may well have a place in the monitoring of hand eczema extent over time.

Place, publisher, year, edition, pages
Blackwell Publishing Ltd , 2011. Vol. 165, no 1, 123-128 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-69832DOI: 10.1111/j.1365-2133.2011.10312.xISI: 000292111200019OAI: diva2:433469
Available from: 2011-08-10 Created: 2011-08-08 Last updated: 2011-08-22

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Anderson, Chris
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Dermatology and VenerologyFaculty of Health SciencesDepartment of Dermatology and Venerology in Östergötland
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British Journal of Dermatology
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