Mild-to-moderate severity of psoriasis may be assessed remotely based on photographs and self-reported extent of skin involvementCapsule Summary
oleh: 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
| Format: | Article |
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| Diterbitkan: | Elsevier 2023-06-01 |
Deskripsi
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.