The reliability of three psoriasis assessment tools: Psoriasis area and severity index, body surface area and physician global assessment

Bożek, Agnieszka; Reich, Adam

doi:10.17219/acem/69804

Cited by 98 publications

(87 citation statements)

References 16 publications

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“…One of the tools used to measure the severity and extent of the lesions is the Psoriasis Area and Severity Index (PASI). This index quantifies the severity of erythema, induration, desquamation and area affected (head, arms, trunk and legs) …”

Section: Introductionmentioning

confidence: 99%

Association between geographic tongue and psoriasis: A systematic review and meta‐analyses

González-Álvarez

García-Martín

García-Pola

2019

J Oral Pathology Medicine

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Geographic tongue (GT) has been described as a predictor of psoriasis. The objective of this study was to analyse the prevalence of GT in psoriatic and non‐psoriatic patients. For this purpose, we conducted a systematic review and meta‐analysis. A literature search was performed on PubMed, Embase, Web of Science and the Cochrane Database of Systematic Reviews. The search and selection process was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta‐Analyses) criteria. Only case‐control studies were selected, and the prevalence of GT in both groups was compared. Eleven articles met the inclusion criteria, and the frequency of GT was statistically associated with psoriasis in ten studies. The pooled odds ratio (OR) was 3.53 (95% confidence interval [CI] 2.56‐4.86). There were no significant differences between the presence of GT and the clinical form. However, the Psoriasis Area and Severity Index (PASI) score was statistically higher in patients affected by GT in three of four studies. Psoriatic patients with GT also exhibited less improvement in the PASI score after treatment. One study found an association between GT and a negative impact on patients’ quality of life. Nevertheless, age, gender, toxic habits, psoriasis onset and duration of the disease were not clearly associated. The results support the concept of GT as a manifestation of psoriasis. Future research should focus on the repercussions of GT in psoriatic patients, due to the negative consequences on severity and treatment response.

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Section: Introductionmentioning

confidence: 99%

Association between geographic tongue and psoriasis: A systematic review and meta‐analyses

González-Álvarez

García-Martín

García-Pola

2019

J Oral Pathology Medicine

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“…Both approaches are incomparable, and it must be assumed that BSA measurements by the PASI approach are less prone to extensive miscalculations as inaccuracies in one of the areas may be better compensated by correct values in the remaining three areas. 18 Our analyses in a much larger patient cohort revealed an intraobserver ICC of 0.862 and interobserver ICC of 0.924 for the BSA assessment. Of note, the statistical scattering of the results for the severity of erythema and scaling in our study was small which, inter alia, is caused by a limited range of the 0-4 scale.…”

Section: Discussionmentioning

confidence: 54%

“…In contrast, BSA measurements within PASI are performed separately for each of the four anatomical regions. Both approaches are incomparable, and it must be assumed that BSA measurements by the PASI approach are less prone to extensive miscalculations as inaccuracies in one of the areas may be better compensated by correct values in the remaining three areas . Our analyses in a much larger patient cohort revealed an intraobserver ICC of 0.862 and interobserver ICC of 0.924 for the BSA assessment.…”

Section: Discussionmentioning

confidence: 67%

Intra‐ and interobserver variability of image‐based PASI assessments in 120 patients suffering from plaque‐type psoriasis

Fink

Alt

Uhlmann

et al. 2018

Acad Dermatol Venereol

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“…Among adolescents with clinically confirmed psoriasis, the disease severity was assessed and scored using both Psoriasis Area and Severity Index (PASI) and body surface area (BSA). PASI assesses redness, scaling, infiltration and area of the involved skin, whereas BSA includes only the area 56. The distribution of psoriasis was noted and marked on a diagram and the present psoriasis phenotype was recorded.…”

Section: Cohort Descriptionmentioning

confidence: 99%

Cohort profile: the clinical ‘Psoriasis in Adolescents’ (PIA) cohort in Denmark

et al. 2019

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PurposePsoriasis is a chronic inflammatory skin disease that frequently debuts in childhood and adolescence. We wished to determine environmental and genetic risk factors for the development of psoriasis in children and adolescents, as well as to investigate debut type, trigger factors, course of disease, nature and influence of stress related to both child and family and risk factors for comorbidity. The ‘Psoriasis in Adolescents’ (PIA) cohort will provide data on the relationship between psoriasis and, respectively, genetic disposition, early-life exposures, quality of life and comorbidity.ParticipantsThe PIA cohort is nested in the large general population Danish National Birth Cohort (DNBC). We invited 390 adolescents with psoriasis and corresponding maternally predisposed and non-predisposed controls. Participants underwent an interview and a clinical examination consisting of a skin inspection and physical measurements including blood sampling and microbiological swabs. Additionally, four self-administered questionnaires on physical and mental health were completed.Findings to dateThe final PIA cohort consists of 81 adolescents with psoriasis, 110 parentally predisposed and 124 non-predisposed psoriasis-free adolescents. The validity of the maternally reported psoriasis status from the DNBC was found to be low on clinical examination (47.5%). In contrast, the self-reported psoriasis status of the DNBC mothers was clinically confirmed in 80.8% of the cases.Future plansThe PIA cohort offers the possibility of assessing the clinical characteristics, course of psoriasis and development of comorbidities in adolescents with clinically confirmed disease from a general population. Comparison with predisposed and non-predisposed controls is possible and genetic analyses are scheduled. We plan to invite the participants for a follow-up in 5–10 years. Furthermore, we plan to include newly diagnosed adolescents with psoriasis from the 18-year DNBC follow-up. All information is linkable on the individual level with data from the DNBC and nationwide registries in Denmark.

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The reliability of three psoriasis assessment tools: Psoriasis area and severity index, body surface area and physician global assessment

Cited by 98 publications

References 16 publications

Association between geographic tongue and psoriasis: A systematic review and meta‐analyses

Association between geographic tongue and psoriasis: A systematic review and meta‐analyses

Intra‐ and interobserver variability of image‐based PASI assessments in 120 patients suffering from plaque‐type psoriasis

Cohort profile: the clinical ‘Psoriasis in Adolescents’ (PIA) cohort in Denmark

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