Revised Cutaneous Lupus Erythematosus Disease Area and Severity Index (RCLASI) can be used to evaluate a patient with cutaneous lupus erythematosus. One measure is damage associated with skin lesions. The authors are from the University of Muenster, University of Dusseldorf, and Fachklinik Bad Bentheim in Germany
Locations:
(1) scalp
(2) ears
(3) nose and malar region
(4) lips
(5) rest of face
(6) V-area of neck (frontal)
(7) posterior neck and shoulders
(8) chest
(9) abdomen
(10) back and buttocks
(11) arms
(12) hands
(13) legs
(14) feet
Damage measures:
(1) dyspigmentation
(2) scarring and atrophy
Dyspigmentation
Points
none
0
hypopigmenetation
1
hyperpigmentation
1
both
2
Scarring and Atrophy
Points
none
0
initial
1
severe firm, atrophic, vermicular scarring
2
lipoatrophy
2
subscore for scarring and atrophy =
subscore for dyspigmentation =
= SUM(points for the 14 locations)
= SUM(points for the 14 locations)
Interpretation:
• minimum subscore and total score: 0
• maximum subscore for dyspigmentation: 28
• maximum subscore for scarring and atrophy: 28
• maximum total score: 56
To read more or access our algorithms and calculators, please log in or register.
