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Severity parameters are measured on a scale of 0 to 4, from none to maximum. The sum of all three severity parameters is then calculated for each section of skin, multiplied by the area score for that area and multiplied by weight of respective section (0.1 for head, 0.2 for arms, 0.3 for body and 0.4 for legs).
[8] [3] Psoriasis varies in severity from small localized patches to complete body coverage. [3] Injury to the skin can trigger psoriatic skin changes at that spot, which is known as the Koebner phenomenon. [9] The five main types of psoriasis are plaque, guttate, inverse, pustular, and erythrodermic. [5]
What it looks like: Psoriasis causes patches of thickened skin, most often with silver, scaly flakes. It’s usually found around the elbows, feet, knees, palms, and you can even have scalp psoriasis.
The Rule of Tens is a concept to aid clinicians in making the diagnosis of “severe psoriasis”. [39] It states that a patient is considered to have “severe psoriasis” if their body surface area affected is >10%, or if their Psoriasis Area and Severity Index (PASI) score is >10, or if the DLQI score is >10. [39]
In burn cases that involve partial body areas, or when dermatologists are evaluating the Psoriasis Area and Severity Index (PASI) score, the patient's palm can serve a reference point roughly equivalent to 1% of the body surface area. For children and infants, the Lund and Browder chart is used to assess
In 1991, a case was reported of a man having plaque psoriasis and treating it with UV radiation at a tanning salon. After receiving a partial thickness burn from overexposure, he presented with annular pustular psoriasis, which cleared after 21 days, only to reoccur every 3 to 6 weeks for a year. [16]
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