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Clinical evaluation of a more rapid and sensitive Psoriasis Assessment Severity Score (PASS), and its comparison with the classic method of Psoriasis Area and Severity Index (PASI), before and after climatotherapy at the Dead‐Sea
Author(s) -
Harari Marco,
Shani Jashovam,
Hristakieva Eugenia,
Stanimirovic Andrija,
Seidl Wladimir,
Burdo Asia
Publication year - 2000
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1046/j.1365-4362.2000.00017.x
Subject(s) - medicine , psoriasis , psoriasis area and severity index , severity of illness , dermatology , balneotherapy , pathology , alternative medicine
Background The Psoriasis Area and Severity Index (PASI) is used to quantify the extent of the disease, and to evaluate its improvement with treatment. It is considered to be a slow, rough, nonsensitive, and complex tool, with high interobserver variability and low reproducibility. Objectives and methods To develop a simpler, more sensitive, and more rapid end‐point determination for evaluating the psoriatic condition, and to compare its sensitivity with that of the classic PASI score in psoriatic patients undergoing 4‐week climatotherapy at the Dead‐Sea (Israel). Results This study describes a new, rapid, and simple Psoriasis Assessment Severity Score (PASS), whose readings are spread over a longer scale, making the test more sensitive than PASI, and allow better differentiation. Conclusions The comparison between the classic PASI and our new PASS emphasizes the weight of the ‘‘sensitivity to change’' (responsivity) in selecting a better evaluation method for psoriatic patients.