+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The diagnostic criteria of pityriasis rosea and Gianotti-Crosti syndrome - a protocol to establish diagnostic criteria of skin diseases

The diagnostic criteria of pityriasis rosea and Gianotti-Crosti syndrome - a protocol to establish diagnostic criteria of skin diseases

Journal of the Royal College of Physicians of Edinburgh 45(3): 218-225

We established and validated diagnostic criteria for pityriasis rosea and Gianotti-Crosti syndrome. In this paper, we compare and contrast both diagnostic criteria to formulate a protocol in establishing diagnostic criteria for other dermatological diseases. The diagnostic criteria are similar in employing clear dividing lines and conjunctions ('and/or') to assure high reliability. Both sets of criteria should be applicable for all ethnic groups. Spontaneous remission is not included, so diagnosis is not delayed while waiting for disease remission. Laboratory investigations are not enlisted, so that the criteria can be used in medical care systems in different parts of the world. The diagnostic criteria are different in that pathognomonic clinical manifestations exist for pityriasis rosea, such as the herald patch and the orientation of lesions along the lines of skin cleavages. These features, however, score low for sensitivity. These specific manifestations are not seen in Gianotti-Crosti syndrome. Such differences led to different categorisation of clinical features. Atypical variants are more common for pityriasis rosea. The diagnostic criteria for pityriasis rosea therefore do not include a list of differential diagnoses, while diagnostic criteria for Gianotti-Crosti syndrome do. Using this comparison, we constructed a protocol to establish diagnostic criteria for other skin diseases. We advocate the need to justify the establishment of diagnostic criteria, that multiple diagnostic criteria for the same disease should be avoided, that diagnostic criteria should be compatible with the disease classification if applicable, and that the scope should be well-delineated with regard to clinical variants. We outline the need for validation studies to assess the criteria-related validity, test-retest intra-clinician reliability, and inter-clinician reliability. We emphasise that the establishment of diagnostic criteria should not be a generic process. We also highlight limitations of diagnostic criteria, and emphasise that no diagnostic criteria can replace the bedside experience of clinicians.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 059053419

Download citation: RISBibTeXText

PMID: 26517103

DOI: 10.4997/jrcpe.2015.310

Related references

Gianotti-Crosti syndrome, pityriasis rosea, asymmetrical periflexural exanthem, unilateral mediothoracic exanthem, eruptive pseudoangiomatosis, and papular-purpuric gloves and socks syndrome: a brief review and arguments for diagnostic criteria. Infectious Disease Reports 4(1): E12, 2012

The diagnostic criteria of Gianotti-Crosti syndrome: are they applicable to children in India?. Pediatric Dermatology 21(5): 542-547, 2004

Diagnostic criteria for Gianotti-Crosti syndrome: a prospective case-control study for validity assessment. Cutis 68(3): 207-213, 2001

Diagnostic criteria for pityriasis rosea: a prospective case control study for assessment of validity. Journal of the European Academy of Dermatology and Venereology 17(1): 101-103, 2003

Pityriasis Rosea, Gianotti-Crosti Syndrome, Asymmetric Periflexural Exanthem, Papular-Purpuric Gloves and Socks Syndrome, Eruptive Pseudoangiomatosis, and Eruptive Hypomelanosis: Do Their Epidemiological Data Substantiate Infectious Etiologies?. Infectious Disease Reports 8(1): 6418, 2016

Applicability of proposed diagnostic criteria of pityriasis rosea: results of a prospective case-control study in India. Indian Journal of Dermatology 58(6): 439-442, 2013

Diagnostic image (120). A neonate with fever and a rash. Gianotti-Crosti-syndrome. Nederlands Tijdschrift Voor Geneeskunde 147(1): 26, 2003

External validation of IASP diagnostic criteria for Complex Regional Pain Syndrome and proposed research diagnostic criteria. Pain 81(1-2): 147-154, 1999

Is Gianotti-Crosti Syndrome Associated with Atopy? A Case-Control Study and a Postulation on the Intrinsic Host Factors in Gianotti-Crosti Syndrome. Pediatric Dermatology 33(5): 488-492, 2016

Diagnostic criteria for respiratory chain disorders in pediatric patients Can we establish consensus criteria?. American Journal of Human Genetics 61(4 Suppl. ): A248, 1997

Menière's disease: diagnostic criteria, criteria to establish stages, and standards for treatment evaluation. Bibliographic review and update. Acta Otorrinolaringologica Espanola 53(9): 621-626, 2002

Acrodermatitis Papulosa Infantum (Gianotti-Crosti Syndrome) in the Differential Diagnostic Borderline Area of Dermatology Ansd Pediatrics. Monatsschrift für Kinderheilkunde 112: 65-67, 1964

The Research Diagnostic Criteria for Temporomandibular Disorders. V: methods used to establish and validate revised Axis I diagnostic algorithms. Journal of Orofacial Pain 24(1): 63-78, 2010

Simple Gianotti-Crosti erythemato-vesiculo-papulous eruptive syndrome localized in the extremities. (Demonstration of Gianotti-Crosti infantile papulous acrodermatitis). Annales de Dermatologie et de Syphiligraphie 93(3): 279-284, 1966

Beyond Criteria and Definitions: Outcome of a Standardized Antibody-Mediated Rejection Protocol with a Diagnostic Schema Different from the Banff 2009 Criteria. Clinical Transplants 2014: 179-187, 2014