Vocks et al described the Dyshidrotic Eczema Area and Severity Index (DASI) for patients with dyshidrotic eczema. This condition affects the palms of the hands and soles of the feet. The authors are from the Technical University Muenchen and the Center for Medicine and Bioscience in Borstel, Germany.
Parameters:
(1) vesicles (V)
(2) erythema (E)
(3) desquamation (S)
(4) itch (I) using a 10 cm VAS scale
(5) affected area (A)
|
Parameter |
Finding |
Points |
|
vesicles |
0 |
0 |
|
|
< 2 per square cm |
1 |
|
|
2 to 8 per square cm |
2 |
|
|
> 8 per square cm |
3 |
|
erythema |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
desquamation |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
itch |
none |
0 |
|
|
mild (1 to 3 on VAS) |
1 |
|
|
moderate (4 to 7 on VAS) |
2 |
|
|
severe (8 to 10 on VAS) |
3 |
|
area of palm or sole |
0 percent |
0 |
|
|
1 to 20 percent |
1 |
|
|
21 to 40 percent |
2 |
|
|
41 to 60 percent |
3 |
|
|
61 to 80 percent |
4 |
|
|
81 to 100 percent |
5 |
DASI =
= ((V points) + (E points) + (S points) + (I points)) * (area points)
Interpretation:
• minimum score: 0
• maximum score: 60
• The higher the score the more severe the dyshidrotic eczema.
|
DASI |
Severity of Eczema |
|
<= 15 |
mild |
|
16 to 30 |
moderate |
|
>= 31 |
severe |
Specialty: Dermatology
