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A comparison between self-reported hand eczema and self-reported signs and symptoms of skin lesions indicating hand eczema.
- Source :
-
Contact dermatitis [Contact Dermatitis] 2022 Dec; Vol. 87 (6), pp. 528-534. Date of Electronic Publication: 2022 Jul 21. - Publication Year :
- 2022
-
Abstract
- 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.<br />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.<br />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.<br />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%.<br />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.<br /> (© 2022 The Authors. Contact Dermatitis published by John Wiley & Sons Ltd.)
Details
- Language :
- English
- ISSN :
- 1600-0536
- Volume :
- 87
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Contact dermatitis
- Publication Type :
- Academic Journal
- Accession number :
- 35808939
- Full Text :
- https://doi.org/10.1111/cod.14183