Reduction of Inter-Rater and Intra-Rater Variability in Psoriasis Area and Severity Index Assessment by Photographic Training.


BACKGROUND:Severity grading is important for the assessment of psoriasis treatment efficacy. This is most commonly achieved by using the psoriasis area and severity index (PASI), a subjective tool with inherent inter-rater and intra-rater variability. PASI-naive dermatologists require training to properly conduct a PASI assessment. OBJECTIVE:In the present study, we aimed to investigate whether photographic training improves inter-rater and intra-rater variabilities. We also determined which PASI component has the greatest impact on variability. METHODS:Twenty-one dermatologists received 1 hour of PASI training. They were tested before and after the training to evaluate intra-rater variability. The physicians were further tested after training by using a reference photograph. RESULTS:The mean of each PASI component was underevaluated compared with scoring by a PASI expert. The concordance rate with the expert's grading was highest for thickness followed by erythema, scaling, and area. The scaling score showed the greatest improvement after training. After training, the distribution of deviation from the expert's grading, which signifies inter-rater variability, improved only for the PASI area component. The deviation of scaling grading improved upon retesting by using a reference photograph. CONCLUSION:PASI assessment training improved variabilities to some degree but not for every PASI component. The development of an objective psoriasis severity assessment tool will help overcome the subjective variabilities in PASI assessment, which can never be completely eliminated via training.


Ann Dermatol


Annals of dermatology


Youn SW,Choi CW,Kim BR,Chae JB




Has Abstract


2015-10-01 00:00:00












  • Disseminated Superficial Porokeratosisin a Patient with Gastric Cancer.

    abstract::Disseminated superficial porokeratosis (DSP) is a rare variant of porokeratosis, which is characterized histologically by cornoid lamella and clinically by central atrophy with elevated borders. DSP is usually associated with immunosuppressive states and hematopoietic malignancies, but rarely with malignancies of visc...

    journal_title:Annals of dermatology



    authors: Kim SW,Min SU,Won CH,Cho S

    更新日期:2008-12-01 00:00:00

  • Tumor Necrosis Factor Alpha Blocker-Induced Erythrodermic Sarcoidosis in with Juvenile Rheumatoid Arthritis: A Case Report and Review of the Literature.

    abstract::The development of cutaneous sarcoidosis as a paradoxical adverse event of tumor necrosis factor alpha (TNF-α) blockers has been reported in the literature; however, an erythrodermic form of cutaneous sarcoidosis during anti-TNF-α therapy has not yet been reported. Herein, we report the first case of an erythrodermic ...

    journal_title:Annals of dermatology



    authors: Park SK,Hwang PH,Yun SK,Kim HU,Park J

    更新日期:2017-02-01 00:00:00

  • Actinomycosis of the upper lip.

    abstract::Actinomycotic infections are known to have an association with difficulties in diagnosis and treatment. These infections usually involve the head, neck, thorax, and abdomen. Actinomycosis of the upper lip is a rare condition and an important one as well, because it can imitate other diseases. As the initial impression...

    journal_title:Annals of dermatology



    authors: Lee YS,Sim HS,Lee SK

    更新日期:2011-09-01 00:00:00

  • Nicolau syndrome in patient following diclofenac administration: a case report.

    abstract::Nicolau syndrome is a rare adverse reaction to a variety of intra-muscular drug preparations. The typical presentation is pain around the injection site soon after injection, followed by erythema, livedoid patch, hemorrhagic patch, and finally, necrosis of skin, subcutaneous fat, and muscle tissue. The phenomenon has ...

    journal_title:Annals of dermatology



    authors: Kim KK

    更新日期:2011-11-01 00:00:00

  • Localized Sweet's Syndrome in an Irradiated Field.

    abstract::Sweet's syndrome is a reactive dermatosis characterized clinically by fever, leukocytosis, and multiple, erythematous, painful plaques. Histopathologic examination reveals a band-like dense dermal inflammatory infiltrate composed mainly of neutrophils with papillary dermal edema, and no features of vasculitis. We repo...

    journal_title:Annals of dermatology



    authors: Lee GY,Do MO,Kim SH,Choi HY,Myung KB,Choi YW

    更新日期:2009-08-01 00:00:00

  • Morphologic Changes of Zebrafish Melanophore after Intense Pulsed Light and Q-Switched Nd:YAG Laser Irradiation.

    abstract:BACKGROUND:Recently, the pulse-in-pulse mode of intense pulsed light (IPL) has been used increasingly for the treatment of melasma. OBJECTIVE:To observe the morphologic changes in the melanophore in adult zebrafish after irradiation with conventional and pulse-in-pulse IPL and Q-switched Nd:YAG (QSNY) laser. METHODS:...

    journal_title:Annals of dermatology

    pub_type: 杂志文章


    authors: Ryu HJ,Lee JM,Jang HW,Park HC,Rhyu IJ,Kim IH

    更新日期:2016-12-01 00:00:00

  • Intravascular cytotoxic T-cell lymphoma in a young immunocompetent woman.

    abstract::Intravascular lymphoma (IVL) is a rare disorder characterized by the presence of large neoplastic lymphoid cells restricted to the lumens of small vessels with a predilection for the skin and the central nervous system. While the vast majority of cases involving IVL are of B-cell lineage, the disease rarely affects th...

    journal_title:Annals of dermatology



    authors: Jang YH,Lee SJ,Choi YH,Lee WJ,Kim DW,Kim J,Park TI,Chae YS

    更新日期:2014-08-01 00:00:00

  • Interferon-alpha Induced Sarcoidosis with Cutaneous Involvement along the Lines of Venous Drainage.

    abstract::Sarcoidosis is a systemic inflammatory disease of an unknown origin and it is characterized by the presence of noncaseating epitheloid cell granulomas in multiple organs. Herein we report on a case of cutaneous and pulmonary sarcoidosis that was associated with interferon alpha treatment for hepatitis C. A 39-year-old...

    journal_title:Annals of dermatology



    authors: Lee YB,Lee JI,Park HJ,Cho BK,Oh ST

    更新日期:2011-05-01 00:00:00

  • A case of complication after matridex(r) injection.

    abstract::Matridex(R) is an injectable skin filler that's composed of a mixture of cross linked hyaluronic acid and dextranomer particles, and it was recently developed for soft tissue augmentation. To the best of our knowledge, there have been few previous reports on complications associated with Matridex. We report here on a ...

    journal_title:Annals of dermatology



    authors: Huh SY,Cho S,Kim KH,An JS,Won CH,Chang SE,Lee MW,Choi JH,Moon KC

    更新日期:2010-02-01 00:00:00

  • Efficacy of microneedling plus human stem cell conditioned medium for skin rejuvenation: a randomized, controlled, blinded split-face study.

    abstract:BACKGROUND:The use of growth factors in skin rejuvenation is emerging as a novel anti-aging treatment. While the role of growth factors in wound healing is well established, their use in skin rejuvenation has only recently been to be studied and no controlled trials have been performed. OBJECTIVE:We evaluated the anti...

    journal_title:Annals of dermatology

    pub_type: 杂志文章


    authors: Lee HJ,Lee EG,Kang S,Sung JH,Chung HM,Kim DH

    更新日期:2014-10-01 00:00:00

  • A malignant melanoma associated with a blue nevus of the lip.

    abstract::Blue nevi are characterized by a collection of pigment-producing melanocytes in the dermis. These lesions clinically present as well demarcated cerulean-blue or bluish black colored papules or plaques that usually measure less than 1 cm in diameter. They are typically found on the dorsal surface of the hands and feet ...

    journal_title:Annals of dermatology



    authors: Lee HY,Na SY,Son YM,Kang HK,Baek JO,Lee JR,Roh JY

    更新日期:2010-02-01 00:00:00

  • Insect Bite-Like Reaction with Bullous Lesions Mimicking Bullous Pemphigoid in a Patient with Chronic Lymphocytic Leukemia.

    abstract::Patients with chronic lymphocytic leukemia (CLL) rarely exhibit an exaggerated insect bite-like reaction without a history of an arthropod bite. We report a case of an insect bite-like reaction in a 74-year old man with CLL. The patient presented with a 2-year history of recurrent itchy erythematous patches and bliste...

    journal_title:Annals of dermatology



    authors: Kim JE,Kim SC

    更新日期:2018-08-01 00:00:00

  • Isolation and Quantification of Glycosaminoglycans from Human Hair Shaft.

    abstract:BACKGROUND:There is evidence that glycosaminoglycans (GAGs) are present in the hair shaft within the follicle but there are no studies regarding GAGs isolation and measurement in the human hair shaft over the scalp surface, it means, in the free hair shaft. OBJECTIVE:The purpose of our research was to isolate and meas...

    journal_title:Annals of dermatology

    pub_type: 杂志文章


    authors: Maniatopoulou E,Bonovas S,Sitaras N

    更新日期:2016-10-01 00:00:00

  • Case of epidermolysis bullosa with pyloric atresia.

    abstract::Epidermolysis bullosa (EB) is a rare hereditary disorder characterized by formation of blisters following minor trauma. It has been traditionally categorized by the level of basement membrane zone separation into EB simplex (EBS), junctional EB (JEB), and dystrophic EB (DEB). Recently, hemidesmosomal EB has been propo...

    journal_title:Annals of dermatology



    authors: Kim JH,Park HY,Lee HJ,Eom M,Choi EH

    更新日期:2011-09-01 00:00:00

  • Atrophying pityriasis versicolor: is this a new variant of pityriasis versicolor?

    abstract::An atypical clinical form of pityriasis versicolor has been infrequently reported, in which cutaneous atrophy is associated with individual pityriasis versicolor lesions. The pathogenesis of this atrophy remains unclear, but is believed to be a delayed-type hypersensitivity reaction to antigens derived from the Malass...

    journal_title:Annals of dermatology



    authors: Yang YS,Shin MK,Haw CR

    更新日期:2010-11-01 00:00:00

  • Efficacy and Safety of Calcipotriol/Betamethasone Dipropionate Ointment for the Treatment of Trachyonychia: An Open-Label Study.

    abstract:BACKGROUND:Despite efforts to treat trachyonychia, there is no promising treatment modality. OBJECTIVE:This study evaluated the efficacy and safety of calcipotriol plus betamethasone dipropionate ointment on trachyonychia. METHODS:A total of 39 patients with 432 nails affected by trachyonychia were enrolled. All pati...

    journal_title:Annals of dermatology

    pub_type: 杂志文章


    authors: Park JM,Cho HH,Kim WJ,Mun JH,Song M,Kim HS,Ko HC,Kim BS,Kim MB

    更新日期:2015-08-01 00:00:00

  • Lobulated Bowen's Disease with a Clear Cell Change.

    abstract::Bowen's disease usually manifests as a slowly enlarging erythematous scaly patch or plaque. An uncommon variant of Bowen's disease showing a verrucous appearance has been reported and a distinct variant with a prominent clear cell change on histopathology, in addition to a verrucous surface change, was also reported. ...

    journal_title:Annals of dermatology



    authors: Lee DY,Choi KH,Park SH,Lee JY,Yoon TY

    更新日期:2017-08-01 00:00:00

  • Soft Tissue Infection Caused by Rapid Growing Mycobacterium following Medical Procedures: Two Case Reports and Literature Review.

    abstract::Non-tubecrulosis mycobacterium infections were increasingly reported either pulmonary or extrapulmonary in the past decades. In Taiwan, we noticed several reports about the soft tissue infections caused by rapid growing mycobacterium such as Mycobacterium abscessus, Mycobacterium chelonae, on newspaper, magazines, or ...

    journal_title:Annals of dermatology



    authors: Lin SS,Lee CC,Jang TN

    更新日期:2014-04-01 00:00:00

  • Impact of postthyroidectomy scar on the quality of life of thyroid cancer patients.

    abstract:BACKGROUND:Surgical scars are crucial cosmetic problem, especially when in exposed areas such as the anterior neck following thyroidectomy. OBJECTIVE:To evaluate the impact of post-thyroidectomy scars on quality of life (QoL) of thyroid cancer patients and identify the relationship between scar characteristics and QoL...

    journal_title:Annals of dermatology

    pub_type: 杂志文章


    authors: Choi Y,Lee JH,Kim YH,Lee YS,Chang HS,Park CS,Roh MR

    更新日期:2014-12-01 00:00:00

  • A case of membranous lipodystrophy observed in lichen amyloidosis.

    abstract::Membranous lipodystrophy is characterized by the presence of microcysts lined by amorphous, eosinophilic material with an arabesque appearance. We experienced a case of a 72-year-old man who had dark brownish, pruritic papules on the arms, legs, and back. Histopathologic examination of a biopsied lesion showed homogen...

    journal_title:Annals of dermatology



    authors: Lee Y,Ahn SY,Ji JH,Hong SP,Bak H,Lee SH,Ahn SK

    更新日期:2009-05-01 00:00:00

  • Successful Treatment of Hydroxychloroquine-Induced Recalcitrant Acute Generalized Exanthematous Pustulosis with Cyclosporine: Case Report and Literature Review.

    abstract::Acute generalized exanthematous pustulosis (AGEP) is a cutaneous reaction principally induced by drugs. Spontaneous resolution is observed in most patients. However, severe cases required systemic corticosteroid administration. Hydroxychloroquine, which is used to treat some dermatologic and rheumatologic diseases bec...

    journal_title:Annals of dermatology



    authors: Yalçın B,Çakmak S,Yıldırım B

    更新日期:2015-08-01 00:00:00

  • Cedrol Enhances Extracellular Matrix Production in Dermal Fibroblasts in a MAPK-Dependent Manner.

    abstract:BACKGROUND:The extracellular matrix (ECM) produced by dermal fibroblasts supports skin structure, and degradation and/or reduced production of ECM are the main causes of wrinkle formation. OBJECTIVE:The aim of this study was to identify the active ingredient that enhances ECM production in dermal fibroblasts. METHODS...

    journal_title:Annals of dermatology

    pub_type: 杂志文章


    authors: Jin MH,Park SG,Hwang YL,Lee MH,Jeong NJ,Roh SS,Lee Y,Kim CD,Lee JH

    更新日期:2012-02-01 00:00:00

  • Pityriasis versicolor on penile shaft in a renal transplant recipient.

    abstract::Pityriasis versicolor is a superficial infection of the stratum corneum, which is caused by the Malassezia species. Tge Malassezia species consist of 12 subspecies, including M. furfur, M. pachydermatis, M. symphodialis and M. globasa. The Malassezia species are classified as a normal flora, particularly in the sebum ...

    journal_title:Annals of dermatology



    authors: Ryu HW,Cho JW,Lee KS

    更新日期:2012-08-01 00:00:00

  • Enhancement of keratinocyte differentiation by rose absolute oil.

    abstract:BACKGROUND:Through differentiation processes, keratinocytes provide a physical barrier to our bodies and control skin features such as moisturization, wrinkles and pigmentation. Keratinocyte differentiation is disturbed in several skin diseases such as psoriasis and atopic dermatitis. OBJECTIVE:The aim of this study i...

    journal_title:Annals of dermatology

    pub_type: 杂志文章


    authors: Kim JH,Choi DK,Lee SS,Choi SJ,Kim CD,Yoon TJ,Lee JH

    更新日期:2010-08-01 00:00:00

  • Concurrent Drug-Induced Linear Immunoglobulin A Dermatosis and Immunoglobulin A Nephropathy.

    abstract::Diseases associated with immunoglobulin A (IgA) antibody include linear IgA dermatosis, IgA nephropathy, Celiac disease, Henoch-Schönlein purpura, etc. Although usually idiopathic, IgA antibody is occasionally induced by drugs (e.g., vancomycin, carbamazepine, ceftriaxone, and cyclosporine), malignancies, infections, ...

    journal_title:Annals of dermatology



    authors: Kim JS,Choi M,Nam CH,Kim JY,Park BC,Kim MH,Hong SP

    更新日期:2015-06-01 00:00:00

  • Congenital and multiple hobnail hemangiomas.

    abstract::Hobnail hemangioma (targetoid hemosiderotic hemangioma) is a vascular tumor affecting the limbs or trunk. Characteristically, the lesion has a "targetoid" clinical feature and dilated vascular spaces lined by hobnail endothelial cells at histologic examination. The age of onset is widely variable, form 5~67 years, typ...

    journal_title:Annals of dermatology



    authors: Yoon SY,Kwon HH,Jeon HC,Lee JH,Cho S

    更新日期:2011-11-01 00:00:00

  • Clinical and Histopathological Investigation of Seborrheic Keratosis.

    abstract:BACKGROUND:Seborrheic keratosis (SK) is one of the most common epidermal tumors of the skin. However, only a few large-scale clinicohistopathological investigations have been conducted on SK or on the possible correlation between histopathological SK subtype and location. OBJECTIVE:The aim of this study was to analyze...

    journal_title:Annals of dermatology

    pub_type: 杂志文章


    authors: Roh NK,Hahn HJ,Lee YW,Choe YB,Ahn KJ

    更新日期:2016-04-01 00:00:00

  • A case of childhood lichen aureus.

    abstract::Lichen aureus is a rare type of chronic pigmented purpuric dermatosis. The eruptions consist of discrete or confluent golden to brownish lichenoid macules and papules, and are usually asymptomatic. Lichen aureus commonly occurs in young adults, but less frequently in children. We report the first case of multiple lich...

    journal_title:Annals of dermatology



    authors: Kim MJ,Kim BY,Park KC,Youn SW

    更新日期:2009-11-01 00:00:00

  • The clinical efficacy, safety and functionality of anion textile in the treatment of atopic dermatitis.

    abstract:BACKGROUND:Several previous studies have suggested the improvement of atopic dermatitis (AD) in response to special fabrics. In particular, beneficial effects have been reported, following the use of anion textiles. OBJECTIVE:The purpose of this study is to evaluate the effectiveness and safety of an anion textile in ...

    journal_title:Annals of dermatology

    pub_type: 杂志文章


    authors: Kim SH,Hwang SH,Hong SK,Seo JK,Sung HS,Park SW,Shin JH

    更新日期:2012-11-01 00:00:00

  • Identification of dermatophytes using multiplex polymerase chain reaction.

    abstract:BACKGROUND:Multiplex polymerase chain reaction (PCR) allows more than two target DNA molecules to be amplified with more than two primers. This method is also useful for detecting various other organisms simultaneously within a single test tube, and the scope of its use has been expanding widely in the field of clinica...

    journal_title:Annals of dermatology

    pub_type: 杂志文章


    authors: Kim JY,Choe YB,Ahn KJ,Lee YW

    更新日期:2011-08-01 00:00:00