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Objective : As prevalence of atopic dermatitis(AD) rises and medicine of atopic dermatitis develops, the methods of measurement for atopic dermatitis have developed. Therefore, we aimed to establish a new scoring system in oriental medicine for a childhood atopic dermatitis, by comparison, analysis of various scoring systems. Method : We searched for the data related to severity scoring systems of atopic dermatitis in Entrez PubMed on abroad thesis and KISS(Koreanstudies Information Service System) on domestic thesis from 1990 to 2005. Result : Severity scoring systems for atopic dermatitis satisfy validity, reliability, sensitivity of change and verification of this. The essential items of severity scoring systems are extent, intensity and subjective symptoms. The lesion is divided into 9 areas(head and neck, upper limbs, elbow, hands, trunk, hip and inguinal, lower limbs, knee, feet). The items of intensity are erythema, oedema and induration and papulation, oozing and weeping and erosion, excoriation, scaling, lichenification. The subjective symptom is pruritis, evaluated according to sleep loss and obstruction of play and study. The extent and intensity is evaluated in combination. We suggested that extent and intensity occupied for 70% and subject symptoms accounted for 30% of total score.

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