A New Classification of the Severity of Psoriasis: What’s Moderate Psoriasis?

The purpose of this study is to propose a ranking system for the severity of psoriasis. The consensus method of selecting the indices to include and the classification of real patient profiles by an expert panel to create a gold standard of severity were used. The performance of potential cut-offs w...

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Main Authors: Laura Salgado-Boquete, José Manuel Carrascosa, Mar Llamas-Velasco, Ricardo Ruiz-Villaverde, Pablo de la Cueva, Isabel Belinchón
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/11/7/627
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author Laura Salgado-Boquete
José Manuel Carrascosa
Mar Llamas-Velasco
Ricardo Ruiz-Villaverde
Pablo de la Cueva
Isabel Belinchón
author_facet Laura Salgado-Boquete
José Manuel Carrascosa
Mar Llamas-Velasco
Ricardo Ruiz-Villaverde
Pablo de la Cueva
Isabel Belinchón
author_sort Laura Salgado-Boquete
collection DOAJ
description The purpose of this study is to propose a ranking system for the severity of psoriasis. The consensus method of selecting the indices to include and the classification of real patient profiles by an expert panel to create a gold standard of severity were used. The performance of potential cut-offs was evaluated to create a ranking algorithm. The combined use of PASI, BSA, and sPGA may allow the classification of the severity of psoriatic patients. The final algorithm identifies severe patients in a single step (2 out 3 are met: PASI ≥ 11 or BSA ≥ 10 or sPGA ≥ 3), while two steps are required for mild ((2 out 3 are met: PASI ≤ 3 or BSA ≤ 5 or sPGA ≤ 2) and DLQI < 5) and moderate forms (the patient does not meet 2 out 3 (PASI ≥ 11 or BSA ≥ 10 or sPGA ≥ 3) but has a DLQI ≥ 5. A ranking algorithm is presented, consisting of different measures of disease which classifies psoriatic patients into three categories: mild, moderate, and severe.
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spelling doaj.art-ee42ebb18c0040beab3dde6e0f6c9da02023-11-22T02:08:44ZengMDPI AGLife2075-17292021-06-0111762710.3390/life11070627A New Classification of the Severity of Psoriasis: What’s Moderate Psoriasis?Laura Salgado-Boquete0José Manuel Carrascosa1Mar Llamas-Velasco2Ricardo Ruiz-Villaverde3Pablo de la Cueva4Isabel Belinchón5Dermatology Department, Complejo Hospitalario Universitario de Pontevedra, 36003 Pontevedra, SpainDermatology Department, Hospital Universitari Germans Trias I Pujol, Universitat Autònoma de Barcelona, IGTP, 08916 Badalona, SpainDermatology Department, Hospital Universitario de La Princesa, 28006 Madrid, SpainDermatology Department, Hospital Universitario San Cecilio, Instituto Biosanitario de Granada, Ibs, 18016 Granada, SpainDermatology Department, Hospital Universitario Infanta Leonor, 28031 Madrid, SpainDermatology Department, Hospital General Universitario de Alicante-ISABIAL-UMH, 03010 Alicante, SpainThe purpose of this study is to propose a ranking system for the severity of psoriasis. The consensus method of selecting the indices to include and the classification of real patient profiles by an expert panel to create a gold standard of severity were used. The performance of potential cut-offs was evaluated to create a ranking algorithm. The combined use of PASI, BSA, and sPGA may allow the classification of the severity of psoriatic patients. The final algorithm identifies severe patients in a single step (2 out 3 are met: PASI ≥ 11 or BSA ≥ 10 or sPGA ≥ 3), while two steps are required for mild ((2 out 3 are met: PASI ≤ 3 or BSA ≤ 5 or sPGA ≤ 2) and DLQI < 5) and moderate forms (the patient does not meet 2 out 3 (PASI ≥ 11 or BSA ≥ 10 or sPGA ≥ 3) but has a DLQI ≥ 5. A ranking algorithm is presented, consisting of different measures of disease which classifies psoriatic patients into three categories: mild, moderate, and severe.https://www.mdpi.com/2075-1729/11/7/627psoriasisseverityclassificationmoderatediscriminationcut-offs
spellingShingle Laura Salgado-Boquete
José Manuel Carrascosa
Mar Llamas-Velasco
Ricardo Ruiz-Villaverde
Pablo de la Cueva
Isabel Belinchón
A New Classification of the Severity of Psoriasis: What’s Moderate Psoriasis?
Life
psoriasis
severity
classification
moderate
discrimination
cut-offs
title A New Classification of the Severity of Psoriasis: What’s Moderate Psoriasis?
title_full A New Classification of the Severity of Psoriasis: What’s Moderate Psoriasis?
title_fullStr A New Classification of the Severity of Psoriasis: What’s Moderate Psoriasis?
title_full_unstemmed A New Classification of the Severity of Psoriasis: What’s Moderate Psoriasis?
title_short A New Classification of the Severity of Psoriasis: What’s Moderate Psoriasis?
title_sort new classification of the severity of psoriasis what s moderate psoriasis
topic psoriasis
severity
classification
moderate
discrimination
cut-offs
url https://www.mdpi.com/2075-1729/11/7/627
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