J Korean Med Sci.  2009 May;24(Suppl 2):S314-S322. 10.3346/jkms.2009.24.S2.S314.

Development of Korean Academy of Medical Sciences Guideline on the Skin and Related System: Impairment Evaluation of Disfigurement in Skin and Appearance

  • 1Department of Plastic Surgery, College of Medicine, Chung-Ang University, Seoul, Korea. kimws@cau.ac.kr
  • 2Department of Dermatology, College of Medicine, University of Ulsan, Seoul, Korea.
  • 3Department of Plastic Surgery, College of Medicine, Ajou Univeristy, Suwon, Korea.
  • 4Department of Dermatology, College of Medicine, Kyung Hee University, Seoul, Korea.
  • 5Department of Plastic Surgery, National Medical Center, Seoul, Korea.


The purpose of this study is to develop new standards for the disability evaluation with reference to existing laws and other study reports regarding disabilities for the rational evaluation of the diverse kinds of disfigurement in appearance and skin. Three plastic surgery specialists and 3 dermatology specialists developed a new standard for the disability evaluation which is appropriate for circumstances in Korea. Disability rate does not take into account the social occupation, gender or age of the patient, but instead, evaluate the Activity of Daily Living and the social adaptability of the appearance and skin disfigurement regardless of the balance between different disabilities. We tried to include most cutaneous disorders and categorized them into 3 types; congenital (Type 1), acquired (Type 2) as well as any permanent skin impairment sequelae of disease, trauma or treatment process (Type 3). For type 3 disorders, we tried to rate the score according to the size of involved skin lesion. The disability rate is determined by dividing the disability class into 8 steps based on the seriousness of each type of disability.


Disability Evaluation; Skin; Face; Extremities

MeSH Terms

Activities of Daily Living/classification
*Disability Evaluation
Program Development
Skin Diseases/classification/*diagnosis
Skin Physiological Phenomena
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