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Burden-Teh E, Murphy R, Gran S, Nijsten T, Hughes C, Abdul-Wahab A, Bewley A, Burrows N, Darne S, Gach JE, Katugampola R, Jury CS, Kuet K, Llewellyn J, McPherson T, Ravenscroft JC, Taibjee S, Wilkinson C, Thomas KS. Identifying the best predictive diagnostic criteria for psoriasis in children (< 18 years): a UK multicentre case-control diagnostic accuracy study (DIPSOC study). Br J Dermatol 2021; 186:341-351. [PMID: 34477218 PMCID: PMC9298773 DOI: 10.1111/bjd.20689] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/05/2021] [Indexed: 12/14/2022]
Abstract
BACKGROUND In children, psoriasis can be challenging to diagnose. Difficulties arise from differences in the clinical presentation compared with adults. OBJECTIVES To test the diagnostic accuracy of previously agreed consensus criteria and to develop a shortlist of the best predictive diagnostic criteria for childhood psoriasis. METHODS A case-control diagnostic accuracy study in 12 UK dermatology departments (2017-2019) assessed 18 clinical criteria using blinded trained investigators. Children (< 18 years) with dermatologist-diagnosed psoriasis (cases, N = 170) or a different scaly inflammatory rash (controls, N = 160) were recruited. The best predictive criteria were identified using backward logistic regression, and internal validation was conducted using bootstrapping. RESULTS The sensitivity of the consensus-agreed criteria and consensus scoring algorithm was 84·6%, the specificity was 65·1% and the area under the curve (AUC) was 0·75. The seven diagnostic criteria that performed best were: (i) scale and erythema in the scalp involving the hairline, (ii) scaly erythema inside the external auditory meatus, (iii) persistent well-demarcated erythematous rash anywhere on the body, (iv) persistent erythema in the umbilicus, (v) scaly erythematous plaques on the extensor surfaces of the elbows and/or knees, (vi) well-demarcated erythematous rash in the napkin area involving the crural fold and (vii) family history of psoriasis. The sensitivity of the best predictive model was 76·8%, with specificity 72·7% and AUC 0·84. The c-statistic optimism-adjusted shrinkage factor was 0·012. CONCLUSIONS This study provides examination- and history-based data on the clinical features of psoriasis in children and proposes seven diagnostic criteria with good discriminatory ability in secondary-care patients. External validation is now needed.
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Affiliation(s)
- E Burden-Teh
- Centre of Evidence Based Dermatology, School of Medicine, University of Nottingham, Nottingham, UK.,Department of Dermatology, Nottingham University Hospitals NHS Trust, Nottingham, UK
| | - R Murphy
- Centre of Evidence Based Dermatology, School of Medicine, University of Nottingham, Nottingham, UK.,Department of Dermatology, Sheffield Children's NHS Foundation Trust, Sheffield, UK
| | - S Gran
- Centre of Evidence Based Dermatology, School of Medicine, University of Nottingham, Nottingham, UK
| | - T Nijsten
- Department of Dermatology, Erasmus Medical Centre, Rotterdam, the Netherlands
| | - C Hughes
- Centre of Evidence Based Dermatology, School of Medicine, University of Nottingham, Nottingham, UK
| | - A Abdul-Wahab
- Department of Dermatology, St George's University Hospitals NHS Foundation Trust, London, UK
| | - A Bewley
- Department of Dermatology, Barts Health NHS Trust, London, UK
| | - N Burrows
- Department of Dermatology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
| | - S Darne
- Department of Dermatology, The James Cook University Hospital, Middlesbrough, UK
| | - J E Gach
- Department of Dermatology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK
| | - R Katugampola
- Department of Dermatology, Cardiff and Vale University Health Board, Cardiff, UK
| | - C S Jury
- Department of Dermatology, Royal Hospital for Children, Glasgow, UK
| | - K Kuet
- Department of Dermatology, Sheffield Children's NHS Foundation Trust, Sheffield, UK
| | - J Llewellyn
- Centre of Evidence Based Dermatology, School of Medicine, University of Nottingham, Nottingham, UK.,Department of Dermatology, Nottingham University Hospitals NHS Trust, Nottingham, UK
| | - T McPherson
- Department of Dermatology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
| | - J C Ravenscroft
- Department of Paediatric Dermatology, Nottingham University Hospitals NHS Trust, Nottingham, UK
| | - S Taibjee
- Department of Dermatology, Dorset County Hospital NHS Foundation Trust, Dorchester, UK
| | - C Wilkinson
- Department of Dermatology, University Hospital Plymouth NHS Trust, Plymouth, UK
| | - K S Thomas
- Centre of Evidence Based Dermatology, School of Medicine, University of Nottingham, Nottingham, UK
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Simpson J, Martinez‐Queipo M, Onoufriadis A, Tso S, Glass E, Liu L, Higashino T, Scott W, Tierney C, Simpson M, Desomchoke R, Youssefian L, SaeIdian A, Vahidnezhad H, Bisquera A, Ravenscroft J, Moss C, O'Toole E, Burrows N, Leech S, Jones E, Lim D, Ilchyshyn A, Goldstraw N, Cork M, Darne S, Uitto J, Martinez A, Mellerio J, McGrath J. A study of gene mutations and how they relate to the different types of ichthyosis. Br J Dermatol 2020. [DOI: 10.1111/bjd.18832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Simpson J, Martinez‐Queipo M, Onoufriadis A, Tso S, Glass E, Liu L, Higashino T, Scott W, Tierney C, Simpson M, Desomchoke R, Youssefian L, SaeIdian A, Vahidnezhad H, Bisquera A, Ravenscroft J, Moss C, O'Toole E, Burrows N, Leech S, Jones E, Lim D, Ilchyshyn A, Goldstraw N, Cork M, Darne S, Uitto J, Martinez A, Mellerio J, McGrath J. 一项关于基因突变及其与不同鱼鳞病类型相关性的研究. Br J Dermatol 2020. [DOI: 10.1111/bjd.18845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Simpson J, Martinez‐Queipo M, Onoufriadis A, Tso S, Glass E, Liu L, Higashino T, Scott W, Tierney C, Simpson M, Desomchoke R, Youssefian L, SaeIdian A, Vahidnezhad H, Bisquera A, Ravenscroft J, Moss C, O'Toole E, Burrows N, Leech S, Jones E, Lim D, Ilchyshyn A, Goldstraw N, Cork M, Darne S, Uitto J, Martinez A, Mellerio J, McGrath J. Genotype–phenotype correlation in a large English cohort of patients with autosomal recessive ichthyosis. Br J Dermatol 2019; 182:729-737. [DOI: 10.1111/bjd.18211] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/31/2019] [Indexed: 12/17/2022]
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Hillson J, Mant T, Ganguly T, Rosano M, Huntenburg C, Alai-Safar M, Darne S, Palmer D, Pavlova B, Doralt J, Reeve R, Goel N, Weilert D, Rhyne P, Caminis J, Roach J. FRI0182 A Single Dose Study Comparing Pharmacokinetics, Safety, and Immunogenicity of M923 (A Proposed Biosimilar To Adalimumab), US-Sourced Adalimumab, and EU-Sourced Adalimumab in Healthy Subjects. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.3706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Wedgeworth E, Glover M, Irvine A, Neri I, Baselga E, Clayton T, Beattie P, Bjerre J, Burrows N, Foelster-Holst R, Hedelund L, Hernandez-Martin A, Audrain H, Bhate K, Brown S, Baryschpolec S, Darne S, Durack A, Dvorakova V, Gach J, Goldstraw N, Goodyear H, Grabczynska S, Greenblatt D, Halpern J, Hearn R, Hoey S, Hughes B, Jayaraj R, Johansson E, Lam M, Leech S, O'Regan G, Morrison D, Porter W, Ramesh R, Schill T, Shaw L, Taylor A, Taylor R, Thomson J, Tiffin P, Tsakok M, Janmohamed S, Laguda B, McPherson T, Oranje A, Patrizi A, Ravenscroft J, Shahidullah H, Solman L, Svensson A, Wahlgren C, Hoeger P, Flohr C. Propranolol in the treatment of infantile haemangiomas: lessons from the European Propranolol In the Treatment of Complicated Haemangiomas (PITCH) Taskforce survey. Br J Dermatol 2015; 174:594-601. [DOI: 10.1111/bjd.14233] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/05/2015] [Indexed: 12/25/2022]
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Burden-Teh E, Lam ML, Taibjee SM, Taylor A, Webster S, Dolman S, Jury C, Caruana D, Darne S, Carmichael A, Natarajan S, McPherson T, Moore A, Katugampola R, Kalavala M, Al-Ismail D, Richards L, Jones V, Batul Syed S, Glover M, Hughes J, Anderson E, Hughes B, Helbling I, Murphy R. How are we using systemic drugs to treat psoriasis in children? An insight into current clinical U.K. practice. Br J Dermatol 2015; 173:614-8. [PMID: 25601323 DOI: 10.1111/bjd.13671] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- E Burden-Teh
- Department of Dermatology, Nottingham University Hospitals Trust, Nottingham, U.K. .,Centre of Evidence Based Dermatology, University of Nottingham, Nottingham, U.K.
| | - M L Lam
- Department of Dermatology, Nottingham University Hospitals Trust, Nottingham, U.K
| | - S M Taibjee
- Department of Dermatology, Dorset County Hospital, Dorset, U.K
| | - A Taylor
- Department of Dermatology, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, U.K
| | - S Webster
- Department of Dermatology, Alder Hey Children's Hospital, West Derby, U.K
| | - S Dolman
- Department of Dermatology, Alder Hey Children's Hospital, West Derby, U.K
| | - C Jury
- Department of Dermatology, Royal Hospital for Sick Children, Glasgow, U.K
| | - D Caruana
- Department of Dermatology, The James Cook University Hospital, Middlesbrough, U.K
| | - S Darne
- Department of Dermatology, The James Cook University Hospital, Middlesbrough, U.K
| | - A Carmichael
- Department of Dermatology, The James Cook University Hospital, Middlesbrough, U.K
| | - S Natarajan
- Department of Dermatology, The James Cook University Hospital, Middlesbrough, U.K
| | - T McPherson
- Department of Dermatology, Churchill Hospital, Oxford, U.K
| | - A Moore
- Department of Dermatology, Churchill Hospital, Oxford, U.K
| | - R Katugampola
- Department of Dermatology, University Hospital Wales, Cardiff, U.K
| | - M Kalavala
- Department of Dermatology, University Hospital Wales, Cardiff, U.K
| | - D Al-Ismail
- Department of Dermatology, University Hospital Wales, Cardiff, U.K
| | - L Richards
- Department of Dermatology, University Hospital Wales, Cardiff, U.K
| | - V Jones
- Department of Dermatology, Royal Cornwall Hospital NHS Trust, Cornwall, U.K
| | - S Batul Syed
- Department of Dermatology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, U.K
| | - M Glover
- Department of Dermatology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, U.K
| | - J Hughes
- Department of Dermatology, Princess of Wales Hospital, Bridgend, U.K
| | - E Anderson
- Department of Dermatology, Princess of Wales Hospital, Bridgend, U.K
| | - B Hughes
- Department of Dermatology, Portsmouth Hospitals NHS Trust, Portsmouth, U.K.,Department of Dermatology, St Richards Hospital, Chichester, U.K
| | - I Helbling
- Department of Dermatology, University Hospitals of Leicester, Leicester, UK
| | - R Murphy
- Department of Dermatology, Nottingham University Hospitals Trust, Nottingham, U.K
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Lam M, Burden-Teh E, Taibjee S, Taylor A, Webster S, Dolman S, Jury C, Caruana D, Darne S, Carmichael A, Natarajan S, McPherson T, Moore A, Katugampola R, Kalavala M, Al-Ismail D, Richards L, Jones V, Batul Syed S, Glover M, Hughes J, Anderson E, Hughes B, Babakinejad P, Murphy R. A U.K. multicentre audit of the assessment and management of psoriasis in children. Br J Dermatol 2015; 172:789-92. [PMID: 25308153 DOI: 10.1111/bjd.13471] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- M.L. Lam
- Department of Dermatology; Queen's Medical Centre; Nottingham U.K
| | - E. Burden-Teh
- Department of Dermatology; Queen's Medical Centre; Nottingham U.K
- Centre of Evidence Based Dermatology; University of Nottingham; Nottingham U.K
| | - S.M. Taibjee
- Department of Dermatology; Dorset County Hospital; Dorset U.K
| | - A. Taylor
- Department of Dermatology; The Newcastle upon Tyne Hospitals NHS Foundation Trust; Newcastle upon Tyne U.K
| | - S. Webster
- Department of Dermatology; Alder Hey Children's Hospital; West Derby U.K
| | - S. Dolman
- Department of Dermatology; Alder Hey Children's Hospital; West Derby U.K
| | - C. Jury
- Department of Dermatology; Royal Hospital for Sick Children; Glasgow U.K
| | - D. Caruana
- Department of Dermatology; Royal Hospital for Sick Children; Glasgow U.K
| | - S. Darne
- Department of Dermatology; The James Cook University Hospital; Middlesbrough U.K
| | - A. Carmichael
- Department of Dermatology; The James Cook University Hospital; Middlesbrough U.K
| | - S. Natarajan
- Department of Dermatology; The James Cook University Hospital; Middlesbrough U.K
| | - T. McPherson
- Department of Dermatology; Churchill Hospital; Oxford U.K
| | - A. Moore
- Department of Dermatology; Churchill Hospital; Oxford U.K
| | - R. Katugampola
- Department of Dermatology; University Hospital Wales; Cardiff U.K
| | - M. Kalavala
- Department of Dermatology; University Hospital Wales; Cardiff U.K
| | - D. Al-Ismail
- Department of Dermatology; University Hospital Wales; Cardiff U.K
| | - L. Richards
- Department of Dermatology; University Hospital Wales; Cardiff U.K
| | - V. Jones
- Department of Dermatology; Royal Cornwall Hospital NHS Trust; Cornwall U.K
| | - S. Batul Syed
- Department of Dermatology; Great Ormond Street Hospital for Children NHS Foundation Trust; London U.K
| | - M. Glover
- Department of Dermatology; Great Ormond Street Hospital for Children NHS Foundation Trust; London U.K
| | - J. Hughes
- Department of Dermatology; Princess of Wales Hospital; Bridgend U.K
| | - E. Anderson
- Department of Dermatology; Princess of Wales Hospital; Bridgend U.K
| | - B. Hughes
- Department of Dermatology; Portsmouth Hospitals NHS Trust; Portsmouth U.K
- Department of Dermatology; St Richards Hospital; Chichester U.K
| | - P. Babakinejad
- Department of Dermatology; Queen's Medical Centre; Nottingham U.K
| | - R. Murphy
- Department of Dermatology; Queen's Medical Centre; Nottingham U.K
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