“The complete impact of skin disease on patients represents a sum of disease impacts in multiple domains, including symptom, emotional, and functional impacts. These domains
define the patient’s illness experience, which can be different from what physicians perceive when they examine the skin. Consistently capturing and quantifying disease impact in individual patients in routine clinical dermatology practice are difficult. Measures of disease activity, when captured in dermatology practice, tend to focus on objective measures such as skin erythema and scale or body surface area involved. Skin symptom burden may not readily be observed by clinicians, resulting in underestimating skin disease burdens.”





