Clinical assessment of rosacea severity: oriental score vs. quantitative assessment method with imaging and biomedical tools

Kim, J.; Ahn, Ji-Sung; Ha, Soonhoi; Kwon, Soon Hyo; Lee, O.; Oh, Cheol

doi:10.1111/srt.12318

Cited by 12 publications

(32 citation statements)

References 22 publications

(33 reference statements)

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“…Moreover, Kim et al . found significantly lower values in facial areas with increased erythema (measured with a skin colour imaging system) compared with areas having normal skin colour, and in severe compared with mild/moderate rosacea . Significant skin hydration increases were seen after successful treatment (moisturizers, topical metronidazole, oral tetracyclines) .…”

Section: Resultsmentioning

confidence: 93%

“…Skin hydration was assessed in 16 studies by corneometry, mainly for therapy monitoring . A corneometer measures electrical capacitance of the skin surface, providing insight into stratum corneum barrier function; its use was motivated by earlier studies implying decreased barrier function in patients with rosacea …”

Section: Resultsmentioning

confidence: 99%

“…TEWL is widely accepted as a reference parameter to investigate epidermal permeability barrier function . Seven studies used open measurement chambers, two studies unventilated closed measurement chambers, and in seven studies the measurement principle was not specified …”

Section: Resultsmentioning

confidence: 99%

“…Fifteen articles used computer-aided imaging analysis in rosacea diagnosis, severity assessment and therapy monitoring, mainly in ETR (Table S4). 46,48,[57][58][59][60][61][62][63][64][65][66][67][68][69] To measure erythema, five studies used the VISIA â Complexion Analysis system (Canfield Scientific, Parsippany, NJ, U.S.A.), 46,62,63,68,69 a commercially available high-resolution facial imaging system with quantitative imaging-analysis software (RBX â ; Canfield Scientific), which separates red skin-colour components. 70 In all studies, reduction of concentrated facial dark-red areas after treatment (brimonidine, laser, photodynamic therapy) was seen, corresponding to a reduction in erythema.…”

Section: Computer-aided Imaging Analysismentioning

confidence: 99%

“…70 In all studies, reduction of concentrated facial dark-red areas after treatment (brimonidine, laser, photodynamic therapy) was seen, corresponding to a reduction in erythema. The remaining 10 articles incorporated a variety of spectral imaging methods (L*a*b* colour space, 60,61,67 red-blue difference index, 61 erythema dose, 61 red-green-blue imaging, 57,59,66 emission of visible and infrared light 48 ) to quantify erythema, 57,58,60,61,[64][65][66][67] telangiectasias 57 and skin haemoglobin distribution. 48,59 Other techniques Sonographic imaging and infrared photography are two additional imaging techniques used in rosacea cases.…”

Section: Computer-aided Imaging Analysismentioning

confidence: 99%

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Noninvasive objective skin measurement methods for rosacea assessment: a systematic review

et al. 2019

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Summary Background Rosacea assessment and therapy monitoring can be challenging to standardize, as most clinical evaluation systems are prone to interobserver variability and not always validated. Therefore, objective, reliable and preferably noninvasive measurement tools are needed. Objectives To give insight into available noninvasive imaging techniques and biophysical methods in rosacea by performing a systematic review. Methods PubMed, Embase, Cochrane and Web of Science databases were searched until 1 September 2018 in accordance with PRISMA guidelines, to identify studies providing original data about objective noninvasive imaging and/or biophysical skin measurement techniques for diagnosis, assessing severity or therapy monitoring of adult patients with cutaneous facial rosacea. Risk of bias of included articles was assessed with the Cochrane Risk of Bias tool, Quality in Prognosis Studies tool, and the Newcastle–Ottawa Scale. Results A total of 78 studies were included, describing 14 imaging and biophysical methods. Widespread information about (sub)surface cutaneous morphology and functionality was obtained. Methodological study quality was relatively low and interstudy outcome variability was large. Several tools show promising value in research settings: for treatment follow‐up Demodex mites are countable with reflectance confocal microscopy, spectrometry can quantify erythema, and rosacea severity could be objectified with skin hydration‐ and transepidermal water loss measurements. Conclusions This systematic review describes the spectrum of noninvasive imaging and biophysical methods in rosacea assessment, giving multifaceted information about structure and properties of rosacea skin, especially useful for research purposes. Larger studies with good methodological quality are needed to create validated protocols for further implementation into research. What's already known about this topic? Rosacea is a chronic inflammatory skin disease with a variety of clinical manifestations. Most clinical evaluation systems are subjective, not always validated, and subsurface skin processes remain unnoticed. Currently, different types of noninvasive measurement tools are available for rosacea assessment and therapy monitoring, but a comprehensive overview is lacking. What does this study add? Seventy‐eight publications were included, describing 14 imaging and biophysical tools, providing a wide range of information about rosacea skin morphology and functionality. Reflectance confocal microscopy and spectrometry are especially promising in therapy monitoring and skin barrier measurements for rosacea severity assessment. Larger studies with better methodological quality are needed to create validated protocols for implementation into research.

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Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%