The United Kingdom Working Party for atopic dermatitis (AD) refined the Hanifin and Rajka diagnostic criteria for use in epidemiologic studies.


Required finding:

(1) an itchy (pruritic) skin condition (includes parental report of scratching or rubbing in a child).


Additional findings:

(1) history of involvement of the skin creases such as folds of elbows, behind the knees, fronts of the ankles, or neck.

(2) a personal history of asthma or hay fever (or a history of atopic disease in a first-degree relative in those under 4)

(3) a history of a generally dry skin in the last year

(4) visible flexural dermatitis (or dermatitis involving the cheeks or forehead and outer limbs in children under the age of 4)

(5) onset under the age of 2 (not used if child is under the age of 4)


Diagnosis of atopic dermatitis: required finding AND >= 3 additional findings.


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