{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:28:51Z","timestamp":1790659731749,"version":"4.1.0"},"reference-count":6,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2014,10,20]],"date-time":"2014-10-20T00:00:00Z","timestamp":1413763200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100009754","name":"Galderma","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100009754","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Dermatology"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Post\u2010inflammatory hyperpigmentation (PIH) is a problematic and distressing acne sequela. The difficulty of clinically assessing and managing post\u2010inflammatory hyperpigmentation is especially prevalent in <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>sian populations. The <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>sian <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>cne <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>oard conducted a study to evaluate concordance in diagnosis of post\u2010inflammatory hyperpigmentation in patients with active acne, acne scarring, and pigmentation problems. Seven dermatologists reviewed 64 anonymous clinical photographs projected onto a screen during a single session. Results showed that there were two groups of raters, those who found a high frequency of <jats:styled-content style=\"fixed-case\">PIH<\/jats:styled-content> and those who found a low frequency. There was significant variability in these two groups in rating the presence of <jats:styled-content style=\"fixed-case\">PIH<\/jats:styled-content>, with an average of 30 diagnoses (24%) difference between high\u2010 and low\u2010frequency raters. Results of severity ratings showed that while most cases of <jats:styled-content style=\"fixed-case\">PIH<\/jats:styled-content> were assessed as mild, there was marked variability between raters in their assessments of severity. Overall, variability in <jats:styled-content style=\"fixed-case\">PIH<\/jats:styled-content> diagnosis was greatest when active acne was present; in these cases, low <jats:styled-content style=\"fixed-case\">PIH<\/jats:styled-content> raters were more likely to report skin coloration as erythema instead of <jats:styled-content style=\"fixed-case\">PIH<\/jats:styled-content>. These findings uphold the importance of utilizing specific clinical criteria to improve accurate evaluation of skin color and we advocate future research into this area.<\/jats:p>","DOI":"10.1111\/1346-8138.12667","type":"journal-article","created":{"date-parts":[[2014,10,20]],"date-time":"2014-10-20T05:53:16Z","timestamp":1413784396000},"page":"1106-1108","source":"Crossref","is-referenced-by-count":14,"title":["Evaluating acne\u2010related post\u2010inflammatory hyperpigmentation is a challenge even amongst experts"],"prefix":"10.1111","volume":"41","author":[{"given":"Chee Leok","family":"Goh","sequence":"first","affiliation":[{"name":"National Skin Centre Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flordeliz","family":"Abad\u2010Casintahan","sequence":"additional","affiliation":[{"name":"Department of Dermatology Jose R. Reyes Memorial Center Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven K. W.","family":"Chow","sequence":"additional","affiliation":[{"name":"The KL Skin Center Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj","family":"Kubba","sequence":"additional","affiliation":[{"name":"Delhi Dermatology Group Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiki","family":"Miyachi","sequence":"additional","affiliation":[{"name":"Department of Dermatology KyotoUniversity Graduate School of Medicine Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nopadon","family":"Noppakun","sequence":"additional","affiliation":[{"name":"Chulalongkorn University Hospital Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JoAnn","family":"See","sequence":"additional","affiliation":[{"name":"Central Sydney Dermatology Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dae Hun","family":"Suh","sequence":"additional","affiliation":[{"name":"Department of Dermatology Seoul National University College of Medicine Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leihong Flora","family":"Xiang","sequence":"additional","affiliation":[{"name":"Department of Dermatology Huashan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sewon","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Dermatology Johns Hopkins School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,10,20]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"586","article-title":"Efficacy and safety of azelaic acid (AzA) gel 15% in the treatment of post\u2010inflammatory hyperpigmentation and acne: a 16\u2010week, baseline\u2010controlled study","volume":"10","author":"Kircik LH","year":"2011","journal-title":"J Drugs Dermatol"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.2165\/00128071-200405030-00004"},{"key":"e_1_2_7_4_1","first-page":"401","article-title":"Hyperpigmentation: an overview of the common afflictions","volume":"16","author":"Cayce KA","year":"2004","journal-title":"Dermatol Nurs"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sder.2011.06.004"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1085-5629(97)80034-X"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0846.2009.00355.x"}],"container-title":["The Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1346-8138.12667","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1346-8138.12667","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T17:09:06Z","timestamp":1695575346000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1346-8138.12667"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,10,20]]},"references-count":6,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.1111\/1346-8138.12667"],"URL":"https:\/\/doi.org\/10.1111\/1346-8138.12667","archive":["Portico"],"relation":{},"ISSN":["0385-2407","1346-8138"],"issn-type":[{"value":"0385-2407","type":"print"},{"value":"1346-8138","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,10,20]]}}}