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A comparison between self-reported hand eczema and self-reported signs and symptoms of skin lesions indicating hand eczema

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Assessment of hand eczema severity: What's new?

    Publikation: Bidrag til tidsskriftLetterForskningpeer review

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    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Assessment of hand eczema severity: What's new?

    Publikation: Bidrag til tidsskriftLetterForskningpeer review

  2. Comorbidities in Chilean patients with psoriasis: a Global Healthcare Study on Psoriasis

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  3. Artificial Nails and Long-lasting Nail Polish in Danish Hairdressers: Self-use, Occupational Exposure and Related Eczema

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Vis graf over relationer

BACKGROUND: The accuracy of self-reported hand eczema (HE) is currently unclear, and it is unknown how well self-reported signs and symptoms of skin lesions that indicate HE correlate with self-reported HE.

OBJECTIVES: To correlate self-reported signs and symptoms of skin lesions on the hands with self-reported HE, to assess the sensitivity and specificity, and to suggest a definition for HE.

METHOD: Seven hundred ninety-five (47.8%) of 1663 invited healthcare workers completed a digital questionnaire, and were asked to report if they experienced HE or any of the following skin signs/symptoms in past 11 months: scaling, erythema, fissures, vesicles, dryness, itch, stinging.

RESULTS: HE during the past 11 months was reported by 11.9%. Of these, 91.4% reported at least one skin sign versus 32.3% of those without self-reported HE. The highest sensitivity and specificity were found for erythema (77.4% and 78.2%, respectively) and itch (78.5% and 78.6%, respectively), both separately and combined. The combination of ≥2 signs (erythema, scaling, fissures and vesicles) and itch, reached a sensitivity of 52.7% and specificity of 93.9%.

CONCLUSION: The marked difference between self-reported HE and signs/symptoms highlights the importance of differentiating between data based on self-reported HE and signs/symptoms. As a first step towards diagnostic HE criteria, ≥2 signs combined with itch could be considered, but clinical studies are needed to verify the precision.

OriginalsprogEngelsk
TidsskriftContact Dermatitis
Vol/bind87
Udgave nummer6
Sider (fra-til)528-534
Antal sider7
ISSN0105-1873
DOI
StatusUdgivet - dec. 2022

Bibliografisk note

© 2022 The Authors. Contact Dermatitis published by John Wiley & Sons Ltd.

ID: 84150839