A modification of the GRAPPA grid proposed for the Composite Psoriatic Disease Activity Index (CPDAI). Adapted from Mumtaz, et al. Ann Rheum Dis 2010; in press20.
| Domain | Not Involved (0) | Mild (1) | Moderate (2) | Severe (3) |
|---|---|---|---|---|
| Peripheral arthritis | ≤ 4 joints (swollen or tender); normal function (HAQ < 0.5)* | ≤ 4 joints but function impaired; or > 4 joints, normal function | > 4 joints and function impaired | |
| Skin disease | PASI ≤ 10 and DLQI ≤ 10 | PASI ≤ 10 but DLQI > 10; or PASI > 10 but DLQI ≤ 10 | PASI > 10 and DLQI > 10 | |
| Enthesitis | ≤ 3 sites; normal function (HAQ < 0.5)* | ≤ 3 sites but function impaired; or > 3 sites but normal function | > 3 sites and function impaired | |
| Dactylitis | ≤ 3 digits; normal function (HAQ < 0.5)* | ≤ 3 digits but function impaired; or > 3 digits but normal function | > 3 digits and has function impaired | |
| Spinal disease | BASDAI < 4; normal function (ASQoL <6) | BASDAI > 4 but normal function; BASDAI < 4 but function impaired | BASDAI > 4 and function impaired |
↵* HAQ counted only if clinical involvement of domain (joint/enthesis/dactylitis) is present. ASQol: Ankylosing Spondylitis Quality of Life Questionnaire31; BASDAI: Bath Ankylosing Spondylitis Disease Activity Index23; DLQI: Dermatology Quality of Life Index32; HAQ: Health Assessment Questionnaire33; PASI: Psoriasis Area and Severity Index34.