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- Title
Subjective assessments in pyoderma gangrenosum diagnostic frameworks undermine framework agreement.
- Authors
Nusbaum, Kelsey B.; Boettler, Michelle; Korman, Abraham M.; Alavi, Afsaneh; Alloo, Allireza; Dissemond, Joachim; French, Lars E.; Huang, William W.; Kolios, Antonio G. A.; Marzano, Angelo V.; Micheletti, Robert G.; Mostaghimi, Arash; Ortega‐Loayza, Alex G.; Rosenbach, Misha; Schreml, Stephan; Tolkachjov, Stanislav N.; Kaffenberger, Benjamin H.
- Abstract
A study published in the International Journal of Dermatology examined the diagnostic frameworks for pyoderma gangrenosum (PG), a condition that is often misdiagnosed due to the lack of a confirmatory test. The study surveyed dermatologists who had experience with PG and evaluated their agreement on the interpretation of different diagnostic criteria. The results showed that while the Su and Delphi criteria had higher diagnostic agreement, they had lower sensitivity compared to the PARACELSUS score. The study also found that the subjective aspects of the frameworks, such as physical examination findings and patient history, had the weakest agreement. The authors suggest that future revisions of the frameworks should focus on reducing reliance on subjective assessments and identifying more objective diagnostic measures.
- Subjects
PYODERMA gangrenosum; INFLAMMATORY bowel diseases
- Publication
International Journal of Dermatology, 2024, Vol 63, Issue 2, pe67
- ISSN
0011-9059
- Publication type
Article
- DOI
10.1111/ijd.16952