Index

Please circle a number for each lesion and location below.

1) Severity of psoriatic lesions

0 = absent - No Redness 1 = mild - Light Red 2 = moderate - Red, but not Deep Red 3 = severe - Very Red 4 = very severe - Extremely Red

2) Body surface involvement

In line 6, please note the affected area for the respective localization. Circle the numbers in front of the percentages.

If you want to determine the PASI yourself:

Total PASI = sum of line 9

Psoriasis Area Severity Index - PASI

Choose the body region.

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HEAD

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ARMS

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TRUNK

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LEGS

HEAD - Area / Involvement (BSA)

1= <10%

2= 10-29%

3= 30-49%

4= 50-69%

5= 70-89%

6= 90-100%

Head result 1

HEAD - Erythema (E)

0 = absent - No Redness

1 = mild - Light Red

2 = moderate - Red, but not Deep Red

3 = severe - Very Red

4 = very severe - Extremely Red

HEAD - Induration (I)

0 = none - No Thickness

1 = mild - (approx. 0,25 mm)

2 = moderate - (approx. 0,5 mm)

3 = severe - (approx. 1 mm)

4 = very severe - (approx. 1.25 mm)

HEAD - Scaling (S)

0 = absent - No Scaling

1 = mild - Mainly fine scake, some of lesion covered

2 = moderate - Coarser, thin scale, most of lesion covered

3 = severe - Coarser, thick scale, most of lesion covered, rough

4 = very severe - Very thick scale, all of lesion covered, very rough

ARMS - Area / Involvement (BSA)

1= <10%

2= 10-29%

3= 30-49%

4= 50-69%

5= 70-89%

6= 90-100%

Arms 1

ARMS - Erythema (E)

0 = absent - No Redness

1 = mild - Light Red

2 = moderate - Red, but not Deep Red

3 = severe - Very Red

4 = very severe - Extremely Red

ARMS - Induration (I)

0 = absent - No Thickness

1 = mild - (approx. 0.25 mm)

2 = moderate - (approx. 0.5 mm)

3 = severe - (approx. 1 mm)

4 = very severe - (approx. 1.25 mm)

ARMS - Scaling (S)

0 = absent - No Scaling

1 = mild - Mainly fine scake, some of lesion covered

2 = moderate - Coarser, thin scale, most of lesion covered

3 = severe - Coarser, thick scale, most of lesion covered, rough

4 = very severe - Very thick scale, all of lesion covered, very rough

TRUNK - Area / Involvement (BSA)

1= <10%

2= 10-29%

3= 30-49%

4= 50-69%

5= 70-89%

6= 90-100%

Trunk result 1

TRUNK - Erythema (E)

0 = absent - No Redness

1 = mild - Light Red

2 = moderate - Red, but not Deep Red

3 = severe - Very Red

4 = very severe - Extremely Red

TRUNK - Induration (I)

0 = absent - No Thickness

1 = mild - (approx. 0.25 mm)

2 = moderate - (approx. 0.5 mm)

3 = severe - (approx. 1 mm)

4 = very severe - (approx. 1.25 mm)

TRUNK - Scaling (S)

0 = absent - No Scaling

1 = mild - Mainly fine scake, some of lesion covered

2 = moderate - Coarser, thin scale, most of lesion covered

3 = severe - Coarser, thick scale, most of lesion covered, rough

4 = very severe - Very thick scale, all of lesion covered, very rough

LEGS - Area / Involvement (BSA)

1= <10%

2= 10-29%

3= 30-49%

4= 50-69%

5= 70-89%

6= 90-100%

Legs 1

LEGS - Erythema (E)

0 = absent - No Redness

1 = mild - Light Red

2 = moderate - Red, but not Deep Red

3 = severe - Very Red

4 = very severe - Extremely Red

LEGS - Induration (I)

0 = absent - No Thickness

1 = mild - (approx. 0.25 mm)

2 = moderate - (approx. 0.5 mm)

3 = severe - (approx. 1 mm)

4 = very severe - (approx. 1.25 mm)

LEGS - Scaling (S)

0 = absent - No Scaling

1 = mild - Mainly fine scake, some of lesion covered

2 = moderate - Coarser, thin scale, most of lesion covered

3 = severe - Coarser, thick scale, most of lesion covered, rough

4 = very severe - Very thick scale, all of lesion covered, very rough

Total PASI

Device

Please circle a number for each lesion and location below.

1) Severity of psoriatic lesions

Characteristics of the efflorescences: 0 = none 1 = slight 2 = medium 3 = severe 4 = very severe

2) Body surface involvement

In line 6, please note the affected area for the respective localization. Circle the numbers in front of the percentages.

Total

Area / Involvement (BSA)

Erythema (E)

Induration (I)

Scaling (S)

If you want to determine the PASI yourself:

Overall PASI