Table 1. Disseminated Superficial Actinic Porokeratosis General Assessment Severity Indexa.
| DSAP-GASI score | Category and Description |
|---|---|
| 0 (Clear) |
Plaque or rim elevation: no elevation over normal skin Scaling: no evidence of scaling Color: no discoloration except for residual hyper- or hypopigmentation |
| 1 (Almost clear) |
Plaque or rim elevation: possible but difficult to ascertain whether there is a slight elevation above normal skin Scaling: surface dryness with some desquamation Color: faint, diffuse pink, brown, or slightly red coloration |
| 2 (Mild) |
Plaque or rim elevation: slight but definite elevation; typically edges are indistinct or sloped Scaling: fine scale partially or mostly covering lesions Color: light red or brown coloration |
| 3 (Moderate) |
Plaque or rim elevation: marked definite elevation with rough or sloped edges in annular configuration Scaling: coarser scale covering most or all of the lesions Color: definite red or brown coloration |
| 4 (Severe) |
Plaque or rim elevation: marked elevation typically with definitive annular hard or sharp edges Scaling: coarse, nontenacious scale predominates covering most or all of the lesions Color: dark brownish to bright red coloration |
Abbreviation: DSAP-GASI, Disseminated Superficial Actinic Porokeratosis General Assessment Severity Index.
a
The DSAP-GASI is scored using the descriptors that best describe the overall appearance of the lesions at a given time. It is not necessary that all characteristics in the second column be present. Excoriations should not be considered when assessing disease severity.