Bruna Lavinas Sayed Picciani1, Lílian Rocha Santos2, Thays Teixeira-Souza2, Thaylla Núñez Amin Dick2, Sueli Carneiro3, Jane Marcy Neffa Pinto4, Joao Carlos Regazzi Avelleira5, David Rubem Azulay5, Ronir Raggio Luiz6, Heron Fernando de Sousa Gonzaga7. 1. Graduate Program in Pathology, School of Medicine, Fluminense Federal University, Niterói, RJ, Brazil. Electronic address: brunapicciani@gmail.com. 2. Graduate Program in Pathology, School of Medicine, Fluminense Federal University, Niterói, RJ, Brazil. 3. Sector of Dermatology, Medical Clinic Department, Rio de Janeiro Federal University, Rio de Janeiro, RJ, Brazil. 4. Department of Dermatology, Fluminense Federal University, Niterói, RJ, Brazil. 5. Institute of Dermatology, Santa Casa da Misericórdia, Rio de Janeiro, RJ, Brazil. 6. Institute of Public Health Studies, Rio de Janeiro Federal University, Rio de Janeiro, RJ, Brazil. 7. Department of Dermatology, Medical School, Marília University, Marília, SP, Brazil.
Abstract
OBJECTIVE: This study was designed to develop a severity index for geographic tongue (GT) based on the Psoriasis Area and Severity Index. STUDY DESIGN: This cross-sectional observational study, with a retrospective sample of 100 participants, included 5 photographs of each case (dorsum, right border, left border, apex, and lingual belly), totaling 500 images of GT, which were evaluated by 3 experienced researchers in the area of GT and psoriasis. At the end of the analysis, GT was classified as mild, moderate, or severe. RESULTS: Of the 100 patients, white women were most prevalent, accounting for 53% of cases. Of these participants, 34% had psoriasis and 24% reported a burning sensation. The values of the proposed new index obtained at time 1 (0.855) and time 2 (0.819) presented low variability, and intra- and interrater correlations produced satisfactory values ranging from 0.950 to 0.898 and 0.898 to 0.850, respectively. CONCLUSION: The new index, Geographic Tongue Area and Severity Index, provides a better characterization of GT by assessing the severity of lesions in an easy and reliable manner, and it is indicated as a first step for interpreting the condition in clinical routines and clinical trials.
OBJECTIVE: This study was designed to develop a severity index for geographic tongue (GT) based on the Psoriasis Area and Severity Index. STUDY DESIGN: This cross-sectional observational study, with a retrospective sample of 100 participants, included 5 photographs of each case (dorsum, right border, left border, apex, and lingual belly), totaling 500 images of GT, which were evaluated by 3 experienced researchers in the area of GT and psoriasis. At the end of the analysis, GT was classified as mild, moderate, or severe. RESULTS: Of the 100 patients, white women were most prevalent, accounting for 53% of cases. Of these participants, 34% had psoriasis and 24% reported a burning sensation. The values of the proposed new index obtained at time 1 (0.855) and time 2 (0.819) presented low variability, and intra- and interrater correlations produced satisfactory values ranging from 0.950 to 0.898 and 0.898 to 0.850, respectively. CONCLUSION: The new index, Geographic Tongue Area and Severity Index, provides a better characterization of GT by assessing the severity of lesions in an easy and reliable manner, and it is indicated as a first step for interpreting the condition in clinical routines and clinical trials.
Authors: Juliana Amorim Dos Santos; Ana Gabriela Costa Normando; Rainier Luiz Carvalho da Silva; Renata Monteiro De Paula; Allan Christian Cembranel; Alan Roger Santos-Silva; Eliete Neves Silva Guerra Journal: Int J Infect Dis Date: 2020-06-09 Impact factor: 3.623