Psoriasis Area and Severity Index
Erythema Head / Neck
integer
Erythema Arms
integer
Erythema Hull (incl. axillae + strips)
integer
Erythema Legs (incl. gluteal)
integer
Induration Head / Neck
integer
Induration Arms
integer
Induration Hull (incl. axillae + strips)
integer
Induration Legs (incl. gluteal)
integer
Desquamation Head / Neck
integer
Desquamation Arms
integer
Desquamation Hull (incl. axillae + strips)
integer
Desquamation Legs (incl. gluteal)
integer
Subtotal A1: Erythema + Induration + Dequamation
integer
Subtotal A2: Erythema + Induration + Dequamation
integer
Subtotal A3: Erythema + Induration + Dequamation
integer
Subtotal A4: Erythema + Induration + Dequamation
integer
Affected Area Head / Neck
integer
Affected Area Arms
integer
Affected Area Hull (incl. axillae + strips)
integer
Affected Area Legs (incl. gluteal)
integer
Subtotal B1: A1 * Area
integer
Subtotal B2: A2 * Area
integer
Subtotal B3: A3 * Area
integer
Subtotal B4: A4 * Area
integer
Subtotal C1: B1 * 0,1
float
Subtotal C2: B2 * 0,2
float
Subtotal C3: B3 * 0,3
float
Subtotal C4: B4 * 0,4
float
PASI Total: C1+C2+C3+C4
float
Total Body Surface Area with Psoriasis
integer
Signature date
date
PASI Comments
text