KR100717834B1 - A scoring system of atopic dermatitis by communicating network and a scoring method of the same - Google Patents

Abstract

The present invention relates to a remote atopy diagnosis system using a communication network and a method for diagnosing the same. In a remote atopy diagnosis system including a client, an atopy diagnosis server, and a database, the atopy diagnosis server has a symptom of 0 to 10 A subjective symptom questionnaire module which asks subjective symptoms about itching and sleep disorders by displaying the slide bar scored up to or selecting the degree of symptoms felt during a specific period from 0 to 10; An invasion area display module configured to display a region in which atopic dermatitis is invaded by a mouse porter in a flash showing a front, a back side, and / or a genital area including a specific lesion; A symptom intensity selection module for selecting any one of the image photographs represented by the symptom-free, mild, moderate, and severe symptoms in which the predetermined symptom progresses to the affected part; Using the results of the modules, scores of 0 when no symptoms are selected, 1 when mild pictures are selected, 2 when moderate pictures are selected, 2 when severe pictures are selected, and 3 as the mouse porter are selected. The score of the displayed atopic dermatitis involvement area is converted into a predetermined ratio and scored, and the results of the subjective symptom questionnaire for the itch and sleep disorder are scored by recognizing the location of the slide bar or by recognizing the selected number. A scoring module for automatically scoring using any one selected from SCORAD, EASI, and SASSAD using all or all; A medical prescription module for performing a prescription according to the scoring module result; An atopy diagnostic information management module for storing and managing the results of each module; A communication module for remotely communicating with the client; A member management module configured to register and manage a user connected by the client as a member; A payment module for calculating a payment amount according to the time or the number of times the member is connected; It is configured to include a control module for controlling the data flow between each module.

According to the present invention, as well as remote self-diagnosis of the patient, doctors or medical institutions can also be used for diagnosing atopy of the patient, patients in remote areas can receive appropriate prescription and medical guidance according to the atopic diagnosis results, and continue atopic dermatitis It is also possible to build a total atopic diagnostic system that can be managed with

Internet, Atopic Dermatitis, Diagnosis, SCORAD, EASI, SASSAD

Description

A scoring system of atopic dermatitis by communicating network and a scoring method of the same}

1 is a view showing the evaluation sheet for calculating the SCORAD Index,

2 is a view showing a reference table for calculating the score of EASI,

3 is a view showing a reference table for calculating the score of the SASSAD,

4 is a block diagram of a remote atopic diagnosis system according to the present invention,

5 is a block diagram of an atopy diagnostic server according to the present invention,

6a and 6b is an example screen of the subjective symptoms questionnaire for itching and sleep disorders shown by the subjective symptoms questionnaire module according to the present invention,

Figure 7 is a screen example of a questionnaire about the subject shown by the subjective symptoms questionnaire module according to the present invention,

8A and 8B are screens illustrating an example of a questionnaire related to sub-symptoms displayed by the subjective symptoms questionnaire module according to the present invention;

9 is a flash classifying the body parts shown by the invasion region display module according to the present invention into predetermined specific lesions,

10 and 11 are screens showing example image pictures of each symptom intensity shown by the symptom intensity selection module according to the present invention;

12 and 13 are the diagnosis result screen shown by the diagnostic information management module according to the present invention,

14 is a flowchart illustrating a remote atopic diagnosis process according to the present invention,

15 is a flowchart illustrating an execution process of a diagnostic program according to the present invention.

<Explanation of symbols for the main parts of the drawings>

10: user 20: client

30: atopy diagnostic server 40: database

The present invention relates to a remote atopy diagnosis system using a communication network and a diagnostic method thereof, and more particularly, an online atopy self-diagnosis system that enables a patient or doctor to self-diagnose the severity of atopic dermatitis using various communication networks such as the Internet. It is about a method.

Atopic dermatitis is a type of chronic skin disease that is accompanied by severe dry skin, itching and inflammation, and recurs repeatedly. Recently, people suffering from atopic dermatitis, including newborns and adults, are increasing day by day. This is a global trend, which was reported to be about 1% in the past, and has rapidly increased to 15 to 20% since the 70's and 80's. In Korea, infants and children have recently shown a similar trend as developed countries. In particular, many people are over 30 years old, and it is estimated that the incidence rate increases mainly due to changes in living environment such as dense environment of apartments or buildings and automobile exhaust gas.

The skin of patients with atopic dermatitis is dry and itchy, and the skin is sensitive to slight external environmental changes. In particular, the season is affected a lot, the symptoms worsen in the dryer like the winter than in summer, and during the day, the itching in the evening is severe, and often suffer from insomnia at night.

This atopic dermatitis has been known by many doctors for centuries in the past centuries, but began to get more intensive light after E. Besnier in 1892 investigated and reported the very itchy skin condition of three teenage boys. to be. As papers on patients with atopic dermatitis emerged from each country and the disease increased, nomenclature and a unified diagnostic method were required. The criteria for diagnosis of atopic dermatitis were first created. Since then, a number of measurement methods have been developed to more objectively evaluate atopic dermatitis.

The most widely used evaluation index until recently is the SCORAD (SCORAD) Index, developed by the European Task Force on Atopic Dermatitis, a specialized research institute for atopic dermatitis in 1993. It is an assessment tool with globally recognized standardized studies, suitable for large-scale studies, and includes subjective symptom scores that are important for estimating the degree of atopic dermatitis, helping to understand the overall progress. However, objectivity may be degraded due to subjective symptom scores, and as shown in FIG. 1, it is necessary to calculate by drawing the affected area directly on the evaluation sheet, which takes a long time to calculate and takes a long time to train the observer.

The diagnostic method by SCORAD, as shown in Figure 1, is calculated by three measurements, one is the atopic invasion area (Atension: A) measurement is the sum of the weights assigned to each body part by multiplying each incidence ratio (for example, 50 times times) In case of% involvement, 18 × 0.5 = 9, which is calculated by totaling each part.) The other is the intensity of symptoms (Intensity: B). 6 Severe Symptoms in Representative Sites: Erythema, Edema / papules, Oozing / crusts, Excoriations, Lichenification, Dryness 3 to 3 points (0 for no symptoms, 1 for mild, 2 for severe, 3 for severe), and the other for 3 days as subjective symptoms (C) for itching and insomnia. Pruritus) and insomnia Is a total of 0 to 10 points, respectively, and the values obtained by substituting these A, B, and C values into the following formulas become SCORAD scores.

The SCORAD score has a value between 0 and 103 points, which is classified as mild if less than 25 points, more than 25 points and moderate if less than 55 points, and severe if more than 55 points.

Another evaluation method is the Eczema Area and Severity Index (EASI), which was created in 1998. Unlike the SCORAD, this method evaluates the intensity of symptoms by body parts and reflects them in the total score, and does not include subjective subjective symptoms. It is characterized by Therefore, the degree of symptoms by body parts can be known and subjective symptoms are not included, so there is less error between observers and observers. However, since it was not developed with atopic dermatitis in mind, it has not been extensively standardized compared to SCORAD, and it is difficult to apply under 2 years of age.

In the diagnosis method by EASI, as shown in FIG. 2, the diagnosis is calculated for each body part to calculate a score. The body parts are divided into four parts: head / neck, upper limbs, trunk, and lower limbs.Erythema (E) and induration Considering only four symptoms such as / duration (Induration / papulation: I), scratch (Excoriation: Ex), lichenification (L), calculate the area of involvement where the symptoms occur and multiply by a predetermined weight. .

At this time, the intensity (severity) of each symptom is diagnosed as 0 for no symptoms, 1 for mild cases, 2 for severe cases, and 3 for severe cases. If there is no 0, less than 10%, 1 point, 10-29% is 2 points, 30-49% is 3 points, 50-69% is 4 points, 70-89% is 5 points, 90-100% is 6 points Diagnose with

The final EASI score is the sum of the four site scores.

Another method for evaluating atopic dermatitis is SASSAD (Six-Area Six-Sign Atopic Dermatitis), which, unlike the previous two methods, calculates the sum of six symptoms for six sites without calculating the invasive area of dermatitis, unlike the previous two methods. Is characteristic. Therefore, there is an advantage that can be diagnosed simply and quickly without prior training, but has the disadvantages of low reproducibility, high error between observers, and difficult to identify patient condition more accurately.

The six areas here are Arms, Hands, Legs, Feet, Head and Neck, and Trunk. Six symptoms are Erythema and Exudate. Exudation, scratching, lichenification, dryness and cracking are almost identical to the six symptoms of SCORAD.

In addition, the diagnosis of the intensity of each symptom is also 0 if no symptoms, 1 point for mild, 2 points for moderate, and 3 points for severe.

The total score of symptoms for each site is calculated and summed over the entire site is the SASSAD score.

Other atopy evaluation methods include the Simple Scoring System (SSS), Basic Clinical Scoring System (BCSS), Atopic Dermatitis Severity Index (ADSI), Skin Intensity Score (SIS), Three Item Severity Score (TIS score), and Atopic Dermatitis Area (ADASI). and Severity Index), and Assessment Measure for Atopic Dermatitis (ADAM).

Since the various atopy evaluation methods as described above have advantages and disadvantages, there has been a need for more convenient and accurate diagnosis of atopy by considering them in an integrated manner.

In addition, the atopy evaluation method can be used not only by specialists, but also by non-specialists or general patients, so that even if a patient visits a hospital directly and does not have a diagnosis of a specialist, it is necessary to easily grasp the degree of symptoms and perform appropriate treatment. .

In addition, since atopic dermatitis is a chronic skin disease that can be recurred, continuous management and proper pharmacotherapy are important. Therefore, a means for continuously monitoring the medical condition and improvement of the patient has been required.

In view of the above, the present invention establishes a system that can simultaneously use various existing atopy evaluation methods, and provides a means and method for diagnosing atopy remotely in connection with various communication networks such as the Internet or mobile. In addition to remote self-diagnosis, the aim is to make it possible for doctors or medical institutions to diagnose atopic dermatitis in patients.

Furthermore, an object of the present invention is to provide a total atopy diagnosis system capable of appropriately administering atopic dermatitis and guides treatment, and can continuously manage atopic dermatitis.

In order to achieve the above object, the remote atopy diagnosis system according to the present invention is connected to a communication network to transmit a user's request and display the result according to the request, and atopy diagnosis to process and respond according to the client's query In the remote atopic diagnostic system composed of a server and a predetermined database linked with the atopic diagnostic server, the atopic diagnostic server is configured to display a symptom felt for 3 days with a slide bar scored from 0 to 10 or a symptom felt for a specific period of time. A subjective symptom questionnaire module which asks subjective symptoms of itching and sleep disorders by selecting a degree from 0 to 10; An invasion area display module configured to display a region in which atopic dermatitis is invaded by a mouse porter in a flash showing a front, a back side, and / or a genital area including a specific lesion; A symptom intensity selection module for selecting any one of the image photographs represented by the symptom-free, mild, moderate, and severe symptoms in which the predetermined symptom progresses to the affected part; Using the results of the modules, scores of 0 when no symptoms are selected, 1 when mild pictures are selected, 2 when moderate pictures are selected, 2 when severe pictures are selected, and 3 as the mouse porter are selected. The score of the displayed atopic dermatitis involvement area is converted into a predetermined ratio and scored, and the results of the subjective symptom questionnaire for the itch and sleep disorder are scored by recognizing the location of the slide bar or by recognizing the selected number. A scoring module for automatically scoring using any one selected from SCORAD, EASI, and SASSAD using all or all; A medical prescription module for performing a prescription according to the scoring module result; An atopy diagnostic information management module for storing and managing the results of each module; A communication module for remotely communicating with the client; A member management module configured to register and manage a user connected by the client as a member; A payment module for calculating a payment amount according to the time or the number of times the member is connected; It characterized in that it comprises a control module for controlling the data flow between each module.

Hereinafter, exemplary embodiments of the present invention will be described in detail with reference to the accompanying drawings.

Remote atopic diagnostic system according to the present invention, as shown in Figure 4, basically connected to the communication network to transmit the request of the user 10 and displays the results according to the request and the client according to the query Atopy diagnosis server 30 for processing and responding, and a predetermined database 40 in conjunction with the atopy diagnosis server.

Here, the user 10 may be not only a patient but also a doctor and a medical institution, and the client 20 may be connected to various communication networks such as the Internet, and may be connected to the atopy diagnosis server 30 to communicate with the personal computer, mobile phone, and the Internet. TV (IP-TV) or the like. Accordingly, the client 20 transmits the request of the user 10 to the atopy diagnosis server 30 and displays the information transmitted from the atopy diagnosis server 30. In this case, the communication method will mainly use the http protocol when the client is a computer and internet TV connected to the Internet, and the wap protocol when the mobile phone is connected to a wireless communication network, but is not limited thereto.

In addition, the atopy diagnosis server 30, as shown in Figure 5, is connected to the client 20 and the various communication networks, such as the Internet, the subjective symptom questionnaire module asking the subject of symptoms of itching and sleep disorders inside the diagnosis server system (32); An invasion area display module 33 for displaying an area where atopic dermatitis is invaded; A symptom intensity selection module 34 for selecting the intensity of a predetermined symptom in the affected part; A scoring module 35 for scoring in a predetermined manner using the results of the module; An atopy diagnostic information management module 36 for storing and managing the results of the module; A communication module 39 for remote communication with the client; A member management module 31 which registers and manages a user connected by the client as a member; A control module 30a for controlling data flow between the respective modules should be basically included, and a treatment prescription module 37 for prescribing treatment according to the atopy diagnosis result in order to broaden the function of the diagnosis server; The payment module 38 may further include a payment module 38 for calculating a payment amount according to the time or the number of times the member accesses.

The various modules refer to a device having a specific function assembled with a plurality of electronic components, etc. as a structural unit of the atopy diagnosis server 30 system, some of which are described below.

First, subjective symptoms questionnaire module 32 is a subjective symptoms questionnaire for itching and sleep disorders, as shown in Figure 6a, to display the symptoms felt for 3 days as a slide bar scored from 0 to 10, or as shown in Figure 6b, Have them choose a number from 0 to 10 for the duration of their symptoms.

The subjective symptom questionnaire may further include a questionnaire about a medicinal agent as illustrated in FIG. 7, or may further include a questionnaire about a sub symptom as illustrated in FIG. 8A or 8B.

Next, the invasion area display module 33 displays an area where the atopic dermatitis is invaded on the body part, and a specific invasion area display method is divided into predetermined specific affected areas including the genital area as shown in FIG. 9. In one flash, use a mouse porter to mark the area affected by dermatitis. Here, certain predetermined lesions are head / neck, torso, arms, hands, legs, and feet.

 In addition, the symptom intensity selection module 34 measures the intensity of the predetermined symptoms, that is, erythema, swelling / papules, erosion / crust, abrasion, thyroiditis, dryness, and cracking in the area indicated by the atopic dermatitis invasion. Make a choice. Here, as for the intensity of the symptoms progressed, as shown in Figure 10, it is preferable that any one of the image pictures represented by the symptoms as no symptoms, mild, moderate, severe. In this case, as shown in FIG. 11, only the region indicated by the invasion region display module 33 that the atopic dermatitis is invaded (only the arm and foot regions are activated in FIG. 11), and the seven kinds of activated regions Have them enter all of the symptoms' intensity.

The diagnostic data according to the present invention allows the evaluation method based on SCORAD, EASI, and SASSAD to be used at the same time, but can also be used for other similar atopy evaluation methods. Furthermore, the technical features of the present invention may be further subdivided or further included in the diagnosis site to use most of the existing atopic dermatitis evaluation method.

And scoring module 35 is to score in a predetermined manner using the results of the module, more specifically, as a result of the subjective questionnaire questionnaire for the itching and sleep disorders to recognize the location of the slide bar or to recognize the selected number Scoring, scored by converting the affected area of atopic dermatitis represented by the mouse porter in a predetermined ratio, 0 when no symptoms are selected when selecting the intensity of the symptoms, 1 if a mild picture is selected, 2 if a moderate picture is selected If a serious photo is selected, the score is scored as 3, and the scored diagnostic data is automatically scored according to a predetermined atopic dermatitis evaluation method (formula).

Here, the scoring according to a predetermined atopic dermatitis evaluation method is scored using any one selected from SCORAD, EASI and SASSAD, or as shown in Figure 12, using the SCORAD, EASI and SASSAD at the same time as the scoring results calculated according to each method You can show it and compare it with each other.

In addition, the diagnostic information management module 36 stores the diagnostic result in the diagnostic information DB 44 and manages the diagnostic result. As shown in FIG. 12 or 13, the diagnostic information management module 36 shows the diagnostic result.

In addition, the treatment prescription module 37 is classified as mild if the SCORAD score is less than 25, less than 25 to 55 if moderate, more than 55 if severe, as shown in Figure 12, the treatment according to the severity Do it. At this time, the EASI score may be further considered in order to prescribe the severity for each symptom.

On the other hand, the payment module 38 stores the time or the number of times of access, etc. in the member information DB 42 when the member accesses the atopy diagnosis server 30 using various communication networks such as the Internet, and calculates the amount of payment accordingly. . The calculated payment amount is notified to the member periodically, and the member pays the payment amount to the diagnosis server operator through unpaid deposit, credit card, or e-money.

The member management module 31 accesses the atopy diagnosis server 30 and registers the user 10 who wishes to perform a remote atopy diagnosis as a member, and stores and manages it in the member information DB 42. Thus, the member can be not only a patient but also a doctor and a medical institution. In registration, ID, password, name (medical institution name), gender and address are registered as basic items.

In addition, the communication module 39 is for remote communication with the client 2 connected through the Internet, and the like, and the control module 30a is for controlling data flow between the modules. Since it is a well-known conventional technique, further detailed description is omitted.

Next, the database 40 is located inside the atopy diagnosis server 30 or independently from the outside so as to interwork with each other, including a member information DB 42 for storing registration and access information of the member; The information for diagnosing the atopy and the diagnostic information DB 44 for storing the atopy diagnosis result should be basically included. The data for the medical treatment and the results of the medical treatment according to the function of the atopy diagnosis server 30. DB information 46 for storing the care; Payment information DB 48 for storing the payment information for the member may be further included.

Here, the member information DB 42 may be classified into registered patient information, registered doctor information, and registered medical institution information, and the diagnosis information DB 44 may identify diagnosis results for each patient. Cumulative management by comparing the cumulative management DB, the diagnosis results diagnosed by doctors and the DB that is classified by each medical institution or / and doctors and again classified by each patient, cumulative management, the patient's self-diagnosis results and doctor's diagnosis results It is preferable to include a DB.

Finally, the atopy diagnosis server 30 may further include a module for evaluating the improvement of the atopic dermatitis or / and the drug improvement using the diagnostic information DB (44).

On the other hand, the remote atopic diagnostic method of another aspect of the present invention, as shown in Figure 14, in the remote atopic diagnosis method by a client connected to the communication network and atopy diagnostic server and a predetermined database linked to the atopy diagnostic server, Accessing the atopy diagnosis server through the client and logging in as a member (S31); Selecting atopy self-diagnosis (S32) in the logged-in state to execute a self-diagnosis program (S33); When the execution of the self-diagnosis program ends, storing a diagnosis result in a diagnosis information DB (S34); The member may include selecting a predetermined icon of the diagnosis server and receiving an atopy diagnosis result and other additional information stored in the diagnosis information DB (S35).

Execution of the self-diagnosis program (S33), as shown in Figure 15, the questionnaire inquiry step (S41) asking the subjective symptoms of itching and sleep disorders; An invasive region display step (S42) for causing a flash to display a region in which atopic dermatitis is invaded in front, back and / or genital region of the region including the specific lesion; A symptom intensity selection step (S43) for selecting an intensity at which a predetermined symptom progresses to the affected part; In step S44, the atopy is diagnosed using the result.

Here, the questionnaire inquiry step (S41) further includes a questionnaire about a medicinal agent and / or a side symptom, and the specific lesion includes any one selected from a head / neck, a torso, an arm, a hand, a leg, and a foot in which atopic dermatitis is affected. One, the predetermined symptoms are erythema, edema / papules, erosion / crust, abrasions, thyroiditis, dryness and cracking, the symptom intensity selection (S43) is that the symptoms are no symptoms, mild, moderate, severe Any one of the representative image photographs may be selected, and in the step S44 of assessing atopy in the predetermined manner, it is preferable to obtain each diagnosis result using SCORAD, EASI and / or SASSAD.

In addition, the remote atopy diagnosis method, as shown in FIG. 14, may further include calculating a payment amount based on the access time of the member or the number of times of clicking on an atopic diagnosis related icon (S36).

According to the present invention as described above by building a system that can use a variety of existing atopic evaluation method at the same time, by providing a means and method for remotely diagnosing atopy in connection with various communication networks, such as the Internet or mobile, remote self-diagnosis of the patient In addition, doctors or medical institutions can also be used to diagnose atopic dermatitis.

Furthermore, the present invention may also function as a total atopy diagnosis system that can provide appropriate prescription and medical guidance according to atopic diagnosis results, and continuously manage atopic dermatitis.

In addition, by using the atopy diagnosis results (database) according to the present invention, the results of each atopy evaluation method can be compared and analyzed (correlation by score, etc.), and the occurrence, progression, and treatment status of sex atopic dermatitis by age and region by region can be identified. In addition, there is an additional effect that can perform drug improvement analysis.

Claims (20)

Remote atopy consisting of a client connected to a communication network to transmit a user's request and display the result according to the request, an atopy diagnosis server that processes and responds to the query of the client, and a predetermined database linked to the atopy diagnosis server. In the diagnostic system, The atopic diagnostic server A subjective symptom questionnaire module that asks you to display the symptoms you felt for 3 days with a slide bar scored from 0 to 10, or to select the number of symptoms you felt during a specific period from 0 to 10. ; An invasion area display module configured to display a region in which atopic dermatitis is invaded by a mouse porter in a flash showing a front, a back side, and / or a genital area including a specific lesion; A symptom intensity selection module for selecting any one of the image photographs represented by the symptom-free, mild, moderate, and severe symptoms in which the predetermined symptom progresses to the affected part; Using the results of the modules, scores of 0 when no symptoms are selected, 1 when mild pictures are selected, 2 when moderate pictures are selected, 2 when severe pictures are selected, and 3 as the mouse porter are selected. The score of the displayed atopic dermatitis involvement area is converted into a predetermined ratio and scored, and the results of the subjective symptom questionnaire for the itch and sleep disorder are scored by recognizing the location of the slide bar or by recognizing the selected number. A scoring module for automatically scoring using any one selected from SCORAD, EASI, and SASSAD using all or all; A medical prescription module for performing a prescription according to the scoring module result; An atopy diagnostic information management module for storing and managing the results of each module; A communication module for remotely communicating with the client; A member management module configured to register and manage a user connected by the client as a member; A payment module for calculating a payment amount according to the time or the number of times the member is connected; Remote atopic diagnostic system comprising a control module for controlling the data flow between each module. The method of claim 1, The database is A member information DB for storing registration and access information of the member; A diagnostic information DB for storing the atopic diagnosis data and the atopic diagnosis result; A medical care information DB storing data for the medical treatment and results of the medical treatment; Remote atopy diagnosis system, characterized in that it comprises a payment information DB for storing the payment information for the member. delete The method of claim 1, The specific lesion is any one selected from the head / neck, torso, arms, hands, legs and feet affected by atopic dermatitis, The predetermined symptom is erythema, edema / papules, erosion / crust, abrasions, lichenitis, dryness and cracking. delete delete delete The method of claim 1, The subjective symptom questionnaire remote atopy diagnosis system, characterized in that it further comprises a questionnaire about the medication or / and sub-symptoms. delete delete delete The method of claim 1, The treatment prescription module is classified as mild if the SCORAD score is less than 25, less than 25 to 55 if moderate, and more than 55 if serious, remote atopic diagnosis characterized in that the treatment according to the severity system. The method of claim 12, The treatment prescription module is a remote atopic diagnostic system, characterized in that to further consider the EASI score for the severity prescription for each symptom. The method of claim 12, The member information DB is a remote atopy diagnosis system, characterized in that configured to be divided into registered patient information, registered doctor information and registered medical institution information. The method of claim 14, The diagnostic information DB is a DB for the cumulative management of the diagnosis results by the patient for each patient, a DB for diagnosing the diagnostic results diagnosed by the doctor by medical institutions or / and doctors and again classified by each patient in charge; Remote atopy diagnosis system, characterized in that it comprises a DB for cumulative management by comparing the patient's self-diagnosis results with the doctor's diagnostic results. The method of claim 15, The atopy diagnosis server further comprises a module for evaluating the improvement of atopic dermatitis or / and drug improvement for the registered patient using the diagnostic information DB further comprises a remote atopic diagnosis system. In the remote atopy diagnosis method by a client connected to a communication network, an atopy diagnosis server and a predetermined database linked to the atopy diagnosis server, A user logging into a member by accessing an atopy diagnosis server through a client; Selecting atopy self-diagnosis in the login state to execute a self-diagnosis program; Storing a diagnosis result in a diagnosis information DB when execution of the self-diagnosis program is completed; The member includes selecting a predetermined icon of the diagnostic server and receiving the atopic diagnosis result and other additional information stored in the diagnostic information DB. Execution of the self-diagnosis program A questionnaire inquiry step for asking symptoms of itching and sleep disorders; An invasive region display step of displaying on the flash a region in which atopic dermatitis has invaded the front, back and / or genital region of the region including the specific lesion; A symptom intensity selection step of allowing the affected part to select the intensity of progress of a predetermined symptom; Remote atopic diagnosis method comprising the step of diagnosing atopy using any one or all selected from SCORAD, EASI and SASSAD using the results. delete The method of claim 17, The questionnaire inquiry step further includes a questionnaire about a medication or / and a sub symptom, The specific lesion is any one selected from the head / neck, torso, arms, hands, legs and feet affected by atopic dermatitis, The predetermined symptoms are erythema, edema / palpation, erosion / crust, abrasions, thyroiditis, dryness and cracking, The symptom progress intensity selection is a remote atopy diagnosis method, characterized in that any one of the symptoms are selected from the image pictures, such as no symptoms, mild, moderate, severe. The method of claim 19, And calculating a payment amount based on the access time of the member or the number of times of clicking on an icon related to atopic diagnosis.

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