STRIAA (Severity TRichoscopy Index Alopecia Areata): Validation of a Novel Trichoscopic Tool for Evaluation of Alopecia Areata
Abstract Introduction Alopecia areata (AA) is a non-scarring autoimmune disease characterized by patchy hair loss. The aim of this study was to validate a novel trichoscopic scoring tool, the Severity TRichoscopy Index for Alopecia Areata (STRIAA), for rapid assessment of AA severity. Methods Anonym...
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Adis, Springer Healthcare
2024-12-01
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| Series: | Dermatology and Therapy |
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| Online Access: | https://doi.org/10.1007/s13555-024-01313-x |
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| author | Michela Starace Francesca Pampaloni Federico Quadrelli Stephano Cedirian Luca Rapparini Francesca Bruni Bianca Maria Piraccini |
| author_facet | Michela Starace Francesca Pampaloni Federico Quadrelli Stephano Cedirian Luca Rapparini Francesca Bruni Bianca Maria Piraccini |
| author_sort | Michela Starace |
| collection | DOAJ |
| description | Abstract Introduction Alopecia areata (AA) is a non-scarring autoimmune disease characterized by patchy hair loss. The aim of this study was to validate a novel trichoscopic scoring tool, the Severity TRichoscopy Index for Alopecia Areata (STRIAA), for rapid assessment of AA severity. Methods Anonymized images from 340 patients were scored by two independent raters who analyzed four scalp areas (vertex, occipital, and left and right parietal) for trichoscopic signs: black dots, yellow dots, exclamation mark hairs, broken hairs, and short vellus hairs. Scores (0–3) were assigned according to the number of trichoscopic signs per area, resulting in a total STRIAA score out of 60. Results STRIAA showed high interrater reliability (Cronbach’s alpha 0.99) and significant correlation with the Severity of Alopecia Tool (SALT) score (p < 0.001). Yellow and black dots were significantly associated with the SALT score. Conclusions The STRIAA provides a rapid and comprehensive assessment of AA severity, complementing current assessment tools in clinical practice. |
| format | Article |
| id | doaj-art-160f7b1d12ea4d8ea8c3d012ac6fe2fa |
| institution | Kabale University |
| issn | 2193-8210 2190-9172 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Adis, Springer Healthcare |
| record_format | Article |
| series | Dermatology and Therapy |
| spelling | doaj-art-160f7b1d12ea4d8ea8c3d012ac6fe2fa2025-02-02T12:09:42ZengAdis, Springer HealthcareDermatology and Therapy2193-82102190-91722024-12-0115122322610.1007/s13555-024-01313-xSTRIAA (Severity TRichoscopy Index Alopecia Areata): Validation of a Novel Trichoscopic Tool for Evaluation of Alopecia AreataMichela Starace0Francesca Pampaloni1Federico Quadrelli2Stephano Cedirian3Luca Rapparini4Francesca Bruni5Bianca Maria Piraccini6Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-MalpighiDermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-MalpighiDermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-MalpighiDermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-MalpighiDermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-MalpighiDermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-MalpighiDermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-MalpighiAbstract Introduction Alopecia areata (AA) is a non-scarring autoimmune disease characterized by patchy hair loss. The aim of this study was to validate a novel trichoscopic scoring tool, the Severity TRichoscopy Index for Alopecia Areata (STRIAA), for rapid assessment of AA severity. Methods Anonymized images from 340 patients were scored by two independent raters who analyzed four scalp areas (vertex, occipital, and left and right parietal) for trichoscopic signs: black dots, yellow dots, exclamation mark hairs, broken hairs, and short vellus hairs. Scores (0–3) were assigned according to the number of trichoscopic signs per area, resulting in a total STRIAA score out of 60. Results STRIAA showed high interrater reliability (Cronbach’s alpha 0.99) and significant correlation with the Severity of Alopecia Tool (SALT) score (p < 0.001). Yellow and black dots were significantly associated with the SALT score. Conclusions The STRIAA provides a rapid and comprehensive assessment of AA severity, complementing current assessment tools in clinical practice.https://doi.org/10.1007/s13555-024-01313-xAlopecia areataTrichoscopySeverity indexYellow dotsBlack dotsDisease activity |
| spellingShingle | Michela Starace Francesca Pampaloni Federico Quadrelli Stephano Cedirian Luca Rapparini Francesca Bruni Bianca Maria Piraccini STRIAA (Severity TRichoscopy Index Alopecia Areata): Validation of a Novel Trichoscopic Tool for Evaluation of Alopecia Areata Dermatology and Therapy Alopecia areata Trichoscopy Severity index Yellow dots Black dots Disease activity |
| title | STRIAA (Severity TRichoscopy Index Alopecia Areata): Validation of a Novel Trichoscopic Tool for Evaluation of Alopecia Areata |
| title_full | STRIAA (Severity TRichoscopy Index Alopecia Areata): Validation of a Novel Trichoscopic Tool for Evaluation of Alopecia Areata |
| title_fullStr | STRIAA (Severity TRichoscopy Index Alopecia Areata): Validation of a Novel Trichoscopic Tool for Evaluation of Alopecia Areata |
| title_full_unstemmed | STRIAA (Severity TRichoscopy Index Alopecia Areata): Validation of a Novel Trichoscopic Tool for Evaluation of Alopecia Areata |
| title_short | STRIAA (Severity TRichoscopy Index Alopecia Areata): Validation of a Novel Trichoscopic Tool for Evaluation of Alopecia Areata |
| title_sort | striaa severity trichoscopy index alopecia areata validation of a novel trichoscopic tool for evaluation of alopecia areata |
| topic | Alopecia areata Trichoscopy Severity index Yellow dots Black dots Disease activity |
| url | https://doi.org/10.1007/s13555-024-01313-x |
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