{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:34:06Z","timestamp":1747186446149,"version":"3.40.5"},"reference-count":11,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,6,26]],"date-time":"2021-06-26T00:00:00Z","timestamp":1624665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>All scoring systems used in Alopecia Areata (AA) focus mainly on scalp and cannot assess the severity or treatment response when AA involves the beard hair, eyebrows, or eyelashes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study describes and assesses the reliability of a new scoring system \u201cAlopecia Areata Severity Index\u201d (AASI) for measuring the severity of AA of scalp, beard, and upper face.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Scalp hair, beard hair, upper face (eyebrows and eyelashes) were individually assessed and the severity of AA was scored from 0 to 100 (0\u201350 in case of upper face). AASI score was then calculated as a sum of all these individual scores as AASI\u00a0=\u00a0AASI (scalp)\u00a0+\u00a0AASI (upper face)\u00a0+\u00a0AASI (beard)+. To test the inter\u2010observer reliability of AASI score, 25 patients with varying severity of AA were scored by 4 trained dermatologists. Repeat scoring was performed after one week to test for intra\u2010observer reliability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Excellent inter\u2010rater, as well as intra\u2010observer reliability, was observed with Chronbach's alpha value of 0.999 (CI\u00a0=\u00a00.989\u20131.000). The intra\u2010observer correlation coefficient with average measure was 0.999 (CI\u00a0=\u00a00.990\u20131.000) with statistically significant F test &lt;0.005.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>AASI score is a reliable scoring system to assess the severity of AA in patients with involvement of one or more areas of the body.<\/jats:p><\/jats:sec><jats:sec><jats:title>Limitations<\/jats:title><jats:p>Sample population belonged to single ethnic group.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.14289","type":"journal-article","created":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T18:43:31Z","timestamp":1623782611000},"page":"2565-2570","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Alopecia areata severity index (AASI): A reliable scoring system to assess the severity of alopecia areata on face and scalp\u2014a pilot study"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3780-6396","authenticated-orcid":false,"given":"Imran","family":"Majid","sequence":"first","affiliation":[{"name":"CUTIS Institute of Dermatology Srinagar India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farah","family":"Sameem","sequence":"additional","affiliation":[{"name":"Department of Dermatology SKIMS Medical College Srinagar India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javeed","family":"Sultan","sequence":"additional","affiliation":[{"name":"Department of Dermatology Government Medical College Srinagar India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samia","family":"Aleem","sequence":"additional","affiliation":[{"name":"Department of Health and Family Welfare Dermatologist JK Medical Services Srinagar India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,6,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/jid.2013.464"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2016.04.035"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2018.12.051"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.14497"},{"key":"e_1_2_10_6_1","first-page":"397","article-title":"Epidemiology and burden of alopecia areata: a systematic review","volume":"8","author":"Fricke AC","year":"2015","journal-title":"Clin Cosmet Investig Dermatol"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/7194270"},{"issue":"9","key":"e_1_2_10_8_1","first-page":"10347","article-title":"Prevalence of alopecia areata in Saudi Arabia: cross\u2010sectional descriptive study","volume":"12","author":"Al\u2010Ajlan A","year":"2020","journal-title":"Cureus"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2003.09.032"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000442816"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2017.10.048"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.13064"}],"container-title":["Journal of Cosmetic Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.14289","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocd.14289","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.14289","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T19:44:49Z","timestamp":1693338289000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocd.14289"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,26]]},"references-count":11,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["10.1111\/jocd.14289"],"URL":"https:\/\/doi.org\/10.1111\/jocd.14289","archive":["Portico"],"relation":{},"ISSN":["1473-2130","1473-2165"],"issn-type":[{"type":"print","value":"1473-2130"},{"type":"electronic","value":"1473-2165"}],"subject":[],"published":{"date-parts":[[2021,6,26]]},"assertion":[{"value":"2021-04-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}