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Dermatology Research and Practice
Volume 2009, Article ID 357046, 5 pages
Research Article

Determining the Severity of Atopic Dermatitis in Children Presenting in General Practice: An Easy and Fast Method

1Department of General Practice, Erasmus MC—University Medical Center, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands
2General Practice, Dorpsstraat 61, 3927 BB Renswoude, The Netherlands
3Department of Dermatology and Venereology (Pediatric Dermatology), Erasmus MC—University Medical Center Rotterdam/Sophia Children's Hospital, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands

Received 9 June 2009; Accepted 10 September 2009

Academic Editor: Khusru Asadullah

Copyright © 2009 Marjolein G. Willemsen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Assessment of the severity of atopic dermatitis (AD) is necessary to evaluate the disease process. This study evaluates and validates the TIS in children with AD presenting in general practice. Independent investigators determined the severity of AD using the TIS and the objective SCORAD. The interobserver agreement for the TIS and SCORAD was calculated, as was the correlation between TIS and SCORAD. The mean time to assess the TIS was less than one minute. A moderate-to-good agreement between the observers was found for the TIS ( or 0.464), or SCORAD ( or 0.700). There was an excellent correlation between TIS and SCORAD ( ). In conclusion, the TIS is an easy and fast method to score AD. Because of the moderate to good interobserver agreement and the high correlation with the SCORAD, we recommend the TIS to determine the severity of AD in general practice.