Commentaries
New Assessment Table for Establishing Severity in Psoriasis
Nueva tabla para establecer la gravedad de la psoriasis
D. Vidal
Servicio de Dermatología, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despí, Barcelona, Spain
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Vidal" "autores" => array:1 [ 0 => array:3 [ "nombre" => "D." "apellidos" => "Vidal" "email" => array:1 [ 0 => "david.vidal@sanitatintegral.org" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despí, Barcelona, Spain" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Nueva tabla para establecer la gravedad de la psoriasis" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Psoriasis can be classified as mild, moderate, or severe. Given the great variability in the clinical forms of the disease, many different instruments are currently used to assess severity in these patients.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a> However, all of these methods have limitations. Currently, the most used instruments are the Psoriasis Area Severity Index (PASI), body surface area (BSA), Investigator's Global Assessment scale (IGA), and Dermatology Life Quality Index (DLQI). In 2005, Finlay proposed the rule of tens (PASI, BSA or DLQI<span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>10) as a way to define severe psoriasis,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> but this is far from being a dogma and numerous thresholds and other considerations (prior treatment, site affected, comorbidities, etc.) have been proposed by scientific societies as ways of classifying severity in psoriasis. In recent years, the use of the DLQI has come to the fore,<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a> and in this issue Llamas-Velasco et al.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">4</span></a> propose a table combining PASI and DLQI as a way to classify severity rapidly and easily in clinical practice. The novel aspect of the proposed classification is that does not require information on the BSA and it only considers psoriasis to be mild if the patient has a PASI score less than 7 and a DLQI score under 5. Only time will tell whether this proposal will prove successful.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Vidal D. Nueva tabla para establecer la gravedad de la psoriasis. Actas Dermosifiliogr. 2017;108:891.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0025" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Grupo de Trabajo de Psoriasis de la AEDV. ¿Cómo se mide la gravedad de la psoriasis? Disponible en: <a href="https://aedv.es/wp-content/uploads/2016/07/Indices-de-medicio%CC%81n-de-psoriasis.pdf">https://aedv.es/wp-content/uploads/2016/07/Indices-de-medicio%CC%81n-de-psoriasis.pdf</a>." ] ] ] 1 => array:3 [ "identificador" => "bib0030" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Current severe psoriasis and the rule of tens" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A.Y. Finlay" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1365-2133.2005.06502.x" "Revista" => array:6 [ "tituloSerie" => "Br J Dermatol" "fecha" => "2005" "volumen" => "152" "paginaInicial" => "861" "paginaFinal" => "867" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15888138" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0035" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Definition of treatment goals for moderate to severe psoriasis: A European consensus" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "U. Mrowietz" 1 => "K. Kragballe" 2 => "K. Reich" 3 => "P. Spuls" 4 => "C.E. Griffiths" 5 => "A. Nast" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00403-010-1080-1" "Revista" => array:6 [ "tituloSerie" => "Arch Dermatol Res" "fecha" => "2011" "volumen" => "303" "paginaInicial" => "1" "paginaFinal" => "10" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20857129" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0040" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Psoriasis moderada. Propuesta de definición" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M. Llamas-Velasco" 1 => "P. de la Cueva" 2 => "J. Notario" 3 => "L. Martínez-Pilar" 4 => "A. Martorell" 5 => "D. Moreno-Ramírez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Actas Dermosifiliogr" "fecha" => "2017" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010800000010/v1_201711300824/S1578219017303049/v1_201711300824/en/main.assets" "Apartado" => array:4 [ "identificador" => "66476" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Commentaries" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010800000010/v1_201711300824/S1578219017303049/v1_201711300824/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017303049?idApp=UINPBA000044" ]
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