Article ; Online: Predicting the risk of postinflammatory hyperpigmentation: The palmar creases pigmentation scale.
Journal of cosmetic dermatology
2021 Volume 20, Issue 4, Page(s) 1263–1270
Abstract: Background: Postinflammatory hyperpigmentation (PIH) may affect any skin type but has been linked more often to darker skin. While propensity to hyperpigmentation has not been fully elucidated, there may be a direct correlation to one's palmar crease ... ...
Abstract | Background: Postinflammatory hyperpigmentation (PIH) may affect any skin type but has been linked more often to darker skin. While propensity to hyperpigmentation has not been fully elucidated, there may be a direct correlation to one's palmar crease pigmentation. Objective: The aim of this study is to validate the reliable use of a palmar creases pigmentation (PCP) scale, and its accuracy in predicting the risk of PIH. Methods: A prospective, comparative, and blinded study was conducted through photo-numeric analysis of 126 photographs of pairs of palms. We utilized a 4-point visual scale based on the level of contrast between palmar crease pigment and that of the surrounding skin. Score 0 indicated no difference, score 1 referred to a low difference, score 2 meant a moderate difference, and score 3 related to a high difference. Scores were subdivided based on the risk of PIH. Scores 0-1 are low risk and scores 2-3 are high risk. A panel of 8 medical experts independently evaluated and re-evaluated the photographs that were shown in a random order. Results: A significant degree of inter-rater reliability was found at both evaluation visits, with an intra-class correlation coefficient (ICC) = 0.908, P <.001, at the first evaluation and an ICC = 0.924, P <.001, at the second evaluation, demonstrating a validity of the scale. Global Fleiss kappa for intra-rater reliability for all physicians was 0.514. Conclusion: The PCP scale can be effectively used by any physician to predict hyperpigmentation risk. |
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MeSH term(s) | Humans ; Hyperpigmentation/etiology ; Prospective Studies ; Reproducibility of Results ; Risk Factors ; Skin Pigmentation |
Language | English |
Publishing date | 2021-02-15 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 2280551-5 |
ISSN | 1473-2165 ; 1473-2130 |
ISSN (online) | 1473-2165 |
ISSN | 1473-2130 |
DOI | 10.1111/jocd.13968 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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