Description

Revised Cutaneous Lupus Erythematosus Disease Area and Severity Index (RCLASI) can be used to evaluate a patient with cutaneous lupus erythematosus. One measure is the disease activity 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

 

Activity measures:

(1) erythema

(2) scaling or hyperkeratosis

(3) edema or infilration

(4) subcutaneous nodules or plaques

 

Erythema

Points

none

0

faint pink

2

red

3

dark red or purple, crusted, hemorrhagic

4

 

 

Scaling and Hyperkeratosis

Points

none

0

circumscribed annular, papulosquamous-psorasiform scaling

1

circumscribed adherent scaling, follicular plugging

1

verrucous hyperkeratosis

2

 

 

Edema or Infiltration

Points

none

0

slight, just palpable

1

palpable and visible

2

 

 

Subcutaneous Nodules or Plaques

Points

none

0

subcutaneous induration

1

ulceration of subcutaneous nodule or plaque

2

 

subscore for erythema =

= SUM(points for the 14 locations)

 

subscore for scaling or hyperkeratosis =

= SUM(points for the 14 locations)

 

subscore for edema or infiltration =

= SUM(points for the 14 locations)

 

subscore for subcutaneous nodules or plaques =

= SUM(points for the 14 locations)

 

Interpretation:

• minimum subscore and total score: 0

• maximum subscore for erythema: 42

• maximum subscore for scaling and hyperkeratosis: 28

• maximum subscore for edema and induration: 28

• maximum subscore for subcutaneous nodule or plaque: 28

• maximum total score: 126

 


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