Journal List > Ann Dermatol > v.5(1) > 1046708

Kim, Chung, and Park: Clinical Evaluation of Minor Clinical Features of Atopic Dermatitis

Abstract

Background

Recently doubts have been raised regarding the diagnostic significance of some of the minor clinical features of atopic dermatitis (AD) proposed by Hanifin and Rajka. Some of them may be nonspecific and racial difference was suggested.

Objective

The purpose of this study is to evaluate the diagnostic significance of 14 minor clinical features out of Hanifin and Rajka's 23 minor features of AD in the Korean pediatric population. The significance of 5 more items was evaluated as additional minor features.

Methods

The difference in frequency of the total 19 features of AD was compared between 100 patients with AD and 76 controls.

Results

Fourteen of these were shown to be significantly more frequent in patients than in controls including our 5 additional clues such as scalp scaling, postauricular fissure, infraauricular fissure, forehead lichenification, and infragluteal eczema.

Conclusion

Our study about the minor features may be a valuable guideline for the diagnosis of AD in the Korean pediatric population.

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