Research Article

Unmet Medical Needs and Early Referral of Pediatric Atopic Dermatitis: An Expert Modified Delphi Consensus from Saudi Arabia

Table 2

Major and minor criteria for diagnosis of AD according to Hanifin and Rajka.

Major features (3 of 4 required)

(1) Pruritus
(2) Typical morphology and distribution
(2.1) flexural lichenification or linearity in adults
(2.2) facial and extensor involvement in infants and children
(3) Chronic or chronically relapsing dermatitis
(4) Personal or family history of atopy, such as asthma, allergic rhinitis, and atopic dermatitis
Minor features (3 of 23 required)
(1) Xerosis
(2) Ichthyosis/palmar hyperlinearity/keratosis pilaris
(3) Immediate (type 1) skin test reactivity
(4) Elevated serum immunoglobulin E
(5) Early age of onset
(6) Tendency toward cutaneous infections (S. aureus and herpes simplex virus)/impaired, cell-mediated immunity
(7) Tendency toward nonspecific hand or foot dermatitis
(8) Nipple eczema
(9) Chelitis
(10) Recurrent conjunctivitis
(11) Dennie-morgan infraorbital fold
(12) Keratoconus
(13) Anterior subcapsular cataract
(14) Orbital darkening
(15) Facial pallor/facial erythema
(16) Pityriasis alba
(17) Anterior neck fold
(18) Itch when sweating
(19) Intolerance to wool and lipid solvents
(20) Perifollicular accentuation
(21) Food intolerance
(22) Course influence by environmental/emotional factors
(23) White dermographism/delayed blanch