Evidence map›Paper›PMID 35020960›Full record

ArticleSkin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI)2022

Mild to moderate atopic dermatitis severity can be reliably assessed using smartphone-photographs taken by the patient at home: A validation study.

Zarqa Ali, Andrei Chiriac, Theis Bjerre-Christensen, Ari Pall Isberg, Priyanka Dahiya, Ionela Manole, Ana-Maria Dutei, Irina Deaconescu, Adina Serban, Alina Suru and 6 more

Abstract read
In one paragraph

Article in Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Photography in dermatology.Frontiers in medicine · 2026
    Review
  5. Article
  6. Observational
  7. Clinical features of atopic dermatitis in pediatric patients with skin of color and comparison with different phototypes.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Antibiotics (Basel, Switzerland) · 2023
    Review
  12. Article
  13. Mild to moderate atopic dermatitis severity can be reliably assessed using smartphone-photographs taken by the patient at home: A validation study.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Zarqa AliDepartment of Dermatology and Wound Healing Centre, Bispebjerg Hospital, Copenhagen, Denmark.ORCID https://orcid.org/0000-0003-2411-7177
Andrei ChiriacOMHU A/S, Copenhagen, Denmark.
Theis Bjerre-ChristensenStudies&Me A/S, Copenhagen, Denmark.
Ari Pall IsbergStudies&Me A/S, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-7957-6285
Priyanka DahiyaStudies&Me A/S, Copenhagen, Denmark.
Ionela ManoleStudies&Me A/S, Copenhagen, Denmark.
Ana-Maria DuteiStudies&Me A/S, Copenhagen, Denmark.
Irina DeaconescuStudies&Me A/S, Copenhagen, Denmark.
Adina SerbanStudies&Me A/S, Copenhagen, Denmark.
Alina SuruStudies&Me A/S, Copenhagen, Denmark.
Tove AgnerDepartment of Dermatology and Wound Healing Centre, Bispebjerg Hospital, Copenhagen, Denmark.
Maria Rørbaek KamstrupDepartment of Dermatology and Wound Healing Centre, Bispebjerg Hospital, Copenhagen, Denmark.
Katrine Togsverd-BoDepartment of Dermatology and Wound Healing Centre, Bispebjerg Hospital, Copenhagen, Denmark.
John Robert ZibertStudies&Me A/S, Copenhagen, Denmark.
Simon Francis ThomsenDepartment of Dermatology and Wound Healing Centre, Bispebjerg Hospital, Copenhagen, Denmark.
Anders Daniel AndersenStudies&Me A/S, Copenhagen, Denmark.

Funding

Studies&Me
6 · The paper itself

Abstract

backgroundThe use of photographs to diagnose and monitor skin diseases is gaining ground.

objectivesTo investigate the validity and reliability of photographic assessments of atopic dermatitis (AD) severity.

methodsAD severity was evaluated in the clinic by two assessors using the Eczema Area and Severity Index (EASI), SCOring Atopic Dermatitis (SCORAD), and Investigator's Global Assessment (IGA). Participants photographed the lesions with their own smartphone and completed a questionnaire about the extent of eczema the same day from home. The photographs were assessed twice with an 8 weeks interval by five dermatologists experienced in photographic evaluations. Intraclass correlation coefficients (ICC) with 95% confidence interval (CI) were applied.

resultsSeventy-nine participants were enrolled. The ICC between clinical EASI and photographic EASI was 0.88 (95% CI 0.81-0.93), and 0.86 (0.70-0.93) between clinical SCORAD and photographic SCORAD. Perfect agreement between clinical IGA and photograph IGA was observed for 62%, with the difference between the two never deviating with more than 1 score. The inter-rater ICC for photographic EASI and photographic SCORAD, respectively, was 0.90 (0.85-0.94), and 0.96 (0.91-0.98). The intra-rater agreements between the first and second assessments varied from 0.95 to 0.98 for photographic EASI, and from 0.86 to 0.94 for photographic SCORAD.

conclusionThere was high agreement between mild to moderate AD severity assessed clinically and based on smartphone photographs. Further, the photographic assessments can be reproduced with high reliability.

Indexed as

Dermatitis, AtopicEczemaHumansReproducibility of ResultsSeverity of Illness IndexSmartphoneagreementassessmentatopic dermatitisEASIeczemaIGAphotographreliabilitySCORADseverityvalidity

Identifiers

PMID35020960
PMCPMC9907712

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.