Korean Consensus Criteria for the Severity Classification of Alopecia Areata
- Author:
Yong Hyun JANG
1
;
Seung Soo LEE
;
Do Young PARK
;
Young LEE
;
Do-Young KIM
;
Hyunsun PARK
;
Hyun-Tae SHIN
;
Jung Eun KIM
;
Kihyuk SHIN
;
Ji Hae LEE
;
Jee Woong CHOI
;
Byung Choel PARK
;
Beom Joon KIM
;
Soo Hong SEO
;
Chong Hyun WON
;
Jin PARK
;
Min Sung KIM
;
Sang Seok KIM
;
Bark-Lynn LEW
;
Chang-Hun HUH
;
Ohsang KWON
;
Yang Won LEE
;
Moon-Bum KIM
;
Author Information
- Publication Type:Original Article
- From:Annals of Dermatology 2024;36(4):236-246
- CountryRepublic of Korea
- Language:English
-
Abstract:
Background:A set of criteria for severity classification is essential in alopecia areata (AA). Currently, no guidelines are universally accepted for defining AA severity.
Objective:This study aimed to establish a set of consensus criteria for classifying the severity of and identifying treatment refractoriness in AA.
Methods:A preliminary draft of the definition for moderate-to-severe AA was crafted based on available evidence, and members of the Korean Hair Research Society (KHRS) subsequently endorsed the recommendation through an online survey.
Results:In the first Delphi round, consensus was attained on 15 questions. After refining certain items in the second round, consensus was achieved on 23 out of 26 questions. The KHRS first defined AA severity using the severity of alopecia tool (SALT). SALT ≥50 was defined as severe, 20≤ SALT <50 as moderate, and SALT <20 as mild. Moderate AA was considered severe if it meets one or more of the following criteria: dermatology life quality index >10, presence of accompanying eyebrow or eyelash loss, positive hair loss activity, or treatment-refractory AA.
Conclusion:These consensus criteria can help clinicians accurately diagnose AA, provide appropriate treatment, and monitor its progression.
