Stepien et al reported the Lichen Planus Activity and Damage Index (LiPADI). This measures disease activity and damage in various body sites. The authors are from Rzeszow University and Medical University of Lublin in Poland.
LiPADI subparts:
(1) skin activity
(2) activity at other site (mucous membranes and hair)
(3) damage at all sites
Damage is evaluated with:
(1) skin
(2) nails
(3) hair
Skin anatomic locations:
(1) scalp
(2) face
(3) chest
(4) abdomen
(5) back and buttocks
(6) arms
(7) hands
(8) legs
(9) feet
Nail sites:
(1) fingernails
(2) toenails
Hair sites:
(1) scalp
Parameters:
(1) skin hyperpigmentation
(2) skin scarring atrophy
(3) nail lesions
(4) scaring of scalp
Parameter
Finding
Points
hyperpigmentation
none
0
present
1
scarring atrophy
none
0
scarring
1
severe atrophy with scarring
2
nail lesions
absent
0
linear changes
1
dystrophy
3
scarring of scalp
none
0
1 quadrant of scalp
3
2 quadrants
4
3 quadrants
5
4 quadrants (whole scalp)
6
score for damage =
= SUM(points for all of the sites)
Interpretation:
• minimum score for damage: 0
• maximum score for damage: 39
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