Module | Description/notes |
---|---|
PASI and BSA | Psoriasis Area and Severity Index and Body Surface Area5,9 Background and rationale for PASI, with photographic examples of erythema, induration, and scale, methods of assessing area score, and BSA instruction (handprint = 1%) 16.5 min video Certification module available (3 examples) |
6-point sPGA, v. 1 | Static Physician Global Assessment, version 110,11,12 Erythema, induration, and scale assessed 0–5, then averaged and rounded to nearest whole numbers 1.5 min video Certification module available (3 examples) |
6-point sPGA v. 2 | Static Physician Global Assessment, version 2 Erythema, induration, scale each scored 0–5 over entire body, averaged and rounded to nearest whole number, using slightly different definitions from the National Psoriasis Foundation description Certification module available (3 examples) |
6-point sPGA, v. 3 | Static Physician Global Assessment, version 3 Erythema, induration, scale assessed and a single score of 0–5 assigned (no mathematical rounding) Certification module available (3 examples) |
5-point sPGA | 5-point Static Physician Global Assessment13 Erythema, induration, and scale assessed individually, then averaged and rounded to nearest whole numbers Certification module available (3 examples) |
NAPSI | Nail Psoriasis Severity Index14 Description of the features of matrix and nail bed psoriasis and how to perform this measure Certification module available (3 example nails) |
mNAPSI | Modified Nail Psoriasis Severity Index15 Description of the rationale and method for performing this measure 3 min 41 s video Certification: Testing available 3 patient examples, no consensus scores available |
PSSI | Psoriasis of the Scalp Severity Index16 Adaptation of PASI for scalp assessment 3 min 23 s video |
PPPASI | Palmoplantar Psoriasis Area and Severity Index17 Adaptation of PASI for scoring palmoplantar pustular or non-pustular psoriasis 7 min 9 s video Certification: 4 patient examples, without consensus scoring |
TPSS | Total Plaque Severity Score18 Assessment tool for target plaques, scores erythema, induration, and scale 0–4, then summed. 6 min 37 s video Certification: 9 target plaques with consensus scores |
Body surface area Dactylitis and enthesitis | Describes background and rationale for the handprint method of determining BSA involvement of psoriasis7 Presenters: Philip Helliwell, MD, and Philip Mease, MD, rheumatologists 24 min 58 s video: First 8 min 14 s is dactylitis background and use of dactylometer; remaining portion is enthesitis background, evaluation using Leeds Enthesitis Index, MASES Enthesitis Index, the Enthesitis Skeletal examination, includes coverage of SPARCC Enthesitis Index (18 sites), Major Enthesitis Index, and 4-point Enthesitis Index Certification: testing not available8,19,20 |
Synovitis | Includes joint examination and synovitis introductions, video demonstration of examining joints: TMJ, AC, SC, shoulder, wrist, hand/digits, hip, knee, ankle, foot/digits 37 min 37 s video20 |
Axial Disease Assessment | Includes background and video demonstration of measuring cervical rotation (INSPIRE method with goniometer), chest expansion, occiput-to-wall/tragus-to-wall distance, forward flexion with Schober’s test, lateral bending of spine with Domjan and INSPIRE methods, examination of the hip (internal rotation and intramalleolar distance) ∼9 min video21,22 |
AC: acromioclavicular; MASES: Maastricht Ankylosing Spondylitis Enthesis Score; SC: sternoclavicular; SPARCC: Spondyloarthritis Research Consortium of Canada; TMJ: temporomandibular joint.