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Prurigo Activity and Severity Score (PAS)©
Version 1.2 02.03.2021
1a. Prurigo type: Which types of Prurigo lesions are present?
(multiple selection possible)
Papules
Plaques
Linear lesions
Nodules
Umbilicated lesions
Hypo-/hyperpigmented macules/scars (healed lesions)
1b. Prurigo type: Which type of Prurigo is predominant?
(single selection)
Papular Prurigo
Plaque Prurigo
Linear Prurigo
Nodular Prurigo
Umbilicated Prurigo
Completely healed (scars only)
2. Distribution: In which of the listed areas are Prurigo lesions?
Do not include healed lesions.
(multiple selection possible)
Areal
Affected area
Left forearm
Left forearm
Right forearm
Right forearm
Left upper arm
Left upper arm
Right upper arm
Right upper arm
Left lower leg
Left lower leg
Right lower leg
Right lower leg
Left upper leg
Left upper leg
Right upper leg
Right upper leg
Ventral torso
Ventral torso
Dorsal torso
Dorsal torso
Scalp
Scalp
Face
Face
Torso definition
3. Quantity: How many Prurigo lesions are present?
Do not include healed lesions.
(single selection)
Instructions:
Count the first 20 Prurigo lesions.
If > 20: Estimate, do not count.
Please do not include scars.
3. Quantity: How many Prurigo lesions are present? Do not include healed lesions.
0
20-100
1-19
>100
4. Representative area: Please choose a representative area.
Do not include healed lesions. During further visits, count always in this area. Do not change the area!*
Left forearm
Right forearm
Left upper arm
Right upper arm
Left lower leg
Right lower leg
Left upper leg
Right upper leg
Ventral torso
Dorsal torso
Scalp
Face
Total number of Prurigo lesions in the representative area
(not scars):
Total number of Prurigo lesions in the representative area
(not scars):
5. Activity: Please mark the respective percentage number when compared to all Prurigo lesions,
including healed lesions
.
Item A and B do NOT have to add up to 100 % (single selection for each A and B)
a) Prurigo lesions with excoriations / crusts
a) Prurigo lesions with excoriations / crusts
0%
1-25 %
26-50 %
51-75 %
76-100 %
b) Healed Prurigo lesions
b) Healed Prurigo lesions
100%
76-99 %
51-75 %
26-50 %
0-25 %
* In clinical trials: Please select an area at the screening visit and check that the area is still valid at your baseline visit
Copyright @Center for Chronic Pruritus, University Hospital Münster. For permission to use please contact KCPadministration@ukmuenster.de
Done – show results
Your ePAS score is:
PAS1
lowest severity and minimal extent of chronic prurigo
PAS
highest severity and greatest extent of chronic prurigo
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0 - no satisfaction 4 - maximum satisfaction
Points
1a. Prurigo type: Which types of Prurigo lesions are present?
1b. Prurigo type: Which type of Prurigo is predominant?
2. Distribution: In which of the listed areas are Prurigo lesions?
3. Quantity: How many Prurigo lesions are present?
4. Representative area: Please choose a representative area.
Do not include healed lesions. During further visits, count always in this area. Do not change the area!*
Do not include healed lesions.
(single selection)
(multiple selection possible)
Device
Device
Device
(select at least one area)
Do not include healed lesions.
(single selection)
(single selection)
Select at least one area.
(multiple selection possible)