{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T14:41:55Z","timestamp":1778856115019,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Royal College of Physicians of Edinburgh"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:p>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.<\/jats:p>\n                  <jats:p>The diagnostic criteria are similar in employing clear dividing lines and conjunctions (\u2018and\/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.<\/jats:p>\n                  <jats:p>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.<\/jats:p>\n                  <jats:p>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.<\/jats:p>","DOI":"10.4997\/jrcpe.2015.310","type":"journal-article","created":{"date-parts":[[2017,4,24]],"date-time":"2017-04-24T10:08:26Z","timestamp":1493028506000},"page":"218-225","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["The diagnostic criteria of pityriasis rosea and Gianotti-Crosti syndrome \u2013 a protocol to establish diagnostic criteria of skin diseases"],"prefix":"10.1177","volume":"45","author":[{"given":"A","family":"Chuh","sequence":"first","affiliation":[{"name":"JC School of Public Health and Primary Care, The Chinese University of Hong Kong and Prince of Wales Hospital, Shatin, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V","family":"Zawar","sequence":"additional","affiliation":[{"name":"Consultant Dermatologist and Honorary Professor, Department of Dermatology, Godavari Foundation Medical College and Research Center, DUPMCJ, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"GF","family":"Sciallis","sequence":"additional","affiliation":[{"name":"Consultant and Assistant Professor of Dermatology, Department of Dermatology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Lee","sequence":"additional","affiliation":[{"name":"JC School of Public Health and Primary Care, The Chinese University of Hong Kong and Prince of Wales Hospital, Shatin, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,9,1]]},"reference":[{"key":"bibr1-jrcpe.2015.310","doi-asserted-by":"publisher","DOI":"10.1159\/000088498"},{"key":"bibr2-jrcpe.2015.310","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-3083.2003.00519_4.x"},{"key":"bibr3-jrcpe.2015.310","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5154.119950"},{"key":"bibr4-jrcpe.2015.310","first-page":"207","volume":"68","author":"Chuh AA","year":"2001","journal-title":"Cutis"},{"key":"bibr5-jrcpe.2015.310","doi-asserted-by":"publisher","DOI":"10.1111\/j.0736-8046.2004.21503.x"},{"key":"bibr6-jrcpe.2015.310","doi-asserted-by":"publisher","DOI":"10.4081\/idr.2012.e12"},{"key":"bibr7-jrcpe.2015.310","volume":"2","author":"Chuh A","year":"2007","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr8-jrcpe.2015.310","first-page":"3","volume":"5","author":"Lazaro-Medina A","year":"1996","journal-title":"J Philippine Dermatological Soc"},{"key":"bibr9-jrcpe.2015.310","unstructured":"Villarama C, Lansang P. The efficacy of erythromycin stearate in pityriasis rosea: a randomized, double-blind, placebo-controlled trial (around 2003, unpublished)."},{"key":"bibr10-jrcpe.2015.310","unstructured":"Zhu QY. The observation of curative effects of glycyrrhizin in treating pityriasis rosea. J Clin Dermatol 1992; 21:43."},{"key":"bibr11-jrcpe.2015.310","first-page":"170","volume":"12","author":"Chuh AA","year":"2002","journal-title":"Eur J Dermatol"},{"key":"bibr12-jrcpe.2015.310","first-page":"25","volume":"13","author":"Chuh AA","year":"2003","journal-title":"Eur J Dermatol"},{"key":"bibr13-jrcpe.2015.310","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2006.01569.x"},{"key":"bibr14-jrcpe.2015.310","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1470.2002.00217.x"},{"key":"bibr15-jrcpe.2015.310","first-page":"130","volume":"8","author":"Kesli R","year":"2011","journal-title":"Eur J Gen Med"},{"key":"bibr16-jrcpe.2015.310","unstructured":"Singh S. Treatment of pityriasis rosea, a skin rash, with antiviral drug acyclovir. 2012. www.nhs.uk\/Conditions\/pityriasis-rosea\/Pages\/clinical-trial-details.aspx?TrialId=CTRI\/2012\/09\/002995 (accessed 28\/5\/2015)."},{"key":"bibr17-jrcpe.2015.310","doi-asserted-by":"publisher","DOI":"10.4103\/0378-6323.125484"},{"key":"bibr18-jrcpe.2015.310","doi-asserted-by":"publisher","DOI":"10.1159\/000075059"},{"key":"bibr19-jrcpe.2015.310","doi-asserted-by":"publisher","DOI":"10.1002\/9781444345384.ch50"},{"key":"bibr20-jrcpe.2015.310","doi-asserted-by":"publisher","DOI":"10.1002\/9781444345384.ch84"},{"key":"bibr21-jrcpe.2015.310","first-page":"16","volume-title":"Yearbook of Dermatology and Dermatologic Surgery 2005","author":"Chuh AA","year":"2005"},{"key":"bibr22-jrcpe.2015.310","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.161.5.503"},{"key":"bibr23-jrcpe.2015.310","doi-asserted-by":"publisher","DOI":"10.3315\/jdcr.2012.1095"},{"key":"bibr24-jrcpe.2015.310","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1903.04470030024006"},{"key":"bibr25-jrcpe.2015.310","first-page":"678","volume":"96","author":"Gianotti F","year":"1955","journal-title":"G Ital Dermatol"},{"key":"bibr26-jrcpe.2015.310","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.1986.tb06219.x"},{"key":"bibr27-jrcpe.2015.310","first-page":"889","volume":"112","author":"Ta\u00efeb A","year":"1985","journal-title":"Ann Dermatol Venereol"},{"key":"bibr28-jrcpe.2015.310","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2004.01105.x"},{"key":"bibr29-jrcpe.2015.310","doi-asserted-by":"publisher","DOI":"10.1586\/edm.12.69"},{"key":"bibr30-jrcpe.2015.310","unstructured":"Zawar V, Chuh A. Gianotti-Crosti syndrome: atypical clinical manifestations. 12th Congress of the European Society for Pediatric Dermatology. June 2014, Kiel, Germany."}],"container-title":["Journal of the Royal College of Physicians of Edinburgh"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/jrcpe.2015.310","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/jrcpe.2015.310","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:28:03Z","timestamp":1777616883000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4997\/jrcpe.2015.310"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9]]},"references-count":30,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,9]]}},"alternative-id":["10.4997\/jrcpe.2015.310"],"URL":"https:\/\/doi.org\/10.4997\/jrcpe.2015.310","relation":{},"ISSN":["1478-2715","2042-8189"],"issn-type":[{"value":"1478-2715","type":"print"},{"value":"2042-8189","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9]]}}}