The European Task Force reported the Vitiligo European Task Force (VETF) assessment.
Patient selection: vitiligo
Sections for the assessment:
(1) area involved
(2) staging
(3) spreading
(1) Area involved, which can be used by counting the number of hands (palm and fingers) each of which represents 1% of body surface area (BSA)
Areas scored:
(1) head and neck (9% BSA)
(2) anterior torso (18% BSA)
(3) posterior torso (18% BSA)
(4) left arm (9% BSA)
(5) right arm (9% BSA)
(6) left leg (18% BSA)
(7) right leg (18% BSA)
(8) genitals and perineum (1%)
subscore for an area =
= (percent of the area involved) * (percent of BSA for area)
(2) Staging (using magnifying lens and a Wood's lamp) based on largest patch in the area:
Areas scored:
(1) head and neck
(2) trunk
(3) arms
(4) legs
(5) hands and feet
|
Appearance
|
Stage
|
|
normal pigmentation
|
0
|
|
incomplete pigmentation
|
1
|
|
complete depigmentation
|
2
|
|
partial hair weightening (more than a few, < 30%)
|
3
|
|
complete hair weightening
|
4
|
total score for staging =
= SUM(stages for all 5 areas)
(3) Spreading based on largest patch in the area under natural light and Wood's lamp illumination:
Areas scored:
(1) head and neck
(2) trunk
(3) arms
(4) legs
(5) hands and feet
|
Appearance
|
Spreading
|
|
regressing (repigmentation)
|
-1
|
|
similar patch limits
|
0
|
|
progressing (depigmentation)
|
+1
|
total score for staging =
= SUM(stages for all 5 areas)
Interpretation:
• minimum area: 0%
• maximum area: 100%
• minimum stage: 0
• maximum stage: 20
• minimum spreading: -5
• maximum spreading: +5
