Psoriasis Skin Lesion Area And Severity Index (PASI) And Traditional Chinese Medicine Dialectical Consistency Evaluation

ObjectiveComparing the two markers PASI score, to evaluate PASI score the degree of consistency between different researchers, provide clinical basis for evaluating the reliability of the PASI. Combined with the data results to discuss how to improve the scoring tool. At the same time comparing local lesion dialectic, general information, consistent with the dialectical and overall dialectical results to explore local lesion and general syndrome in psoriasis overall dialectical information. Two studies are provided to improve the quality of psoriasis clinical research improvement method and references.MethodsTwo part adopts the evaluation research, direct observation and asking, fill in the form of the method to collect information about the patient and doctor judgment result.Two markers from the provincial hospital with the method of exchange score before and after, in June 2014 to February 2014 in guangdong hospital dermatological department, the gate of Beijing hospital dermatological department, Beijing Chinese medicine hospital dermatological department three units of outpatient and inpatient 67 psoriatic patients, independently PASI score.Syndromes was collected 70 cases of psoriasis patients complete information, information to each patient syndromes were divided into two-parts of the general situation and the local lesion, compared to the same doctor only provides skin conditions, provide only general situation and provide complete information in three different syndrome the consistency between-the cases of the result of syndrome differentiation.ResultsThe consistency evaluation showed that the two markers on the total PASI score and BSA score with very good consistency (ICC> 0.9). In different parts of the head, arms, torso and lower extremities of the PASI consistency and BSA score also basic can achieve good level. In the refinement of PASI score each item, the area level of consistency (Kappa value> 0.6), and the best level of erythema the consistency of the worst (Kappa values< 0.4), the consistency of the different parts in the head skin worst (Kappa values< 0.4). In syndrome differentiation of traditional Chinese medicine, the doctor in reference only part of the syndrome by differentiation of information as a result, the full syndrome and reference information to make a differentiation between the results of the consistency is not high. Only refer to the skin than reference only general situation of the consistency of results and integral syndrome differentiation syndrome differentiation is a bit high.ConclusionData analysis, the results suggest that trained PASI score the degree of consistency between different markers is quite high. The results show that under the condition of the grader is a professional grade, a psoriasis severity assessment tool or the PASI relatively reliable. In addition, as you can see different entries in the consistency of comparison, the area of rank score more reliable than erythema, head is accurate score the most difficult in four parts.Consistency of results three kinds of syndrome differentiation, syndromes in psoriatic patients judgment information, the information provide only part of the syndrome differentiation result accuracy is not high. So in the syndrome differentiation of traditional Chinese medicine skin disease, four diagnostic parameter and integral syndrome differentiation is still very important, and should attach great importance to the role of skin information in it.