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