Table 3.

Pemphigus Oral Lesions Intensity Score (POLIS) with 9 items.

Items	Points
	0	1	2	3	4
Symptoms related to oral cavity
Difficulty in eating normal fooda	None	Mild	Moderate	Severe	Very severe
Difficulty in eating food according to consistencyb	None	Raw solids	Cooked solids	Semisolids	Liquids
Difficulty in brushing	None	Mild	Moderate	Severe	Very severe
Difficulty in mouth opening	None	Mild	Moderate	Severe	Very severe
Symptoms related to other mucosae
Difficulty in swallowing	None	Mild	Moderate	Severe	Very severe
Difficulty in speaking	None	Mild	Moderate	Severe	Very severe
Oral cavity examination
Number of sites involved in the oral cavity (maximum 11)c	0	1–2	3–5	6–8	9–11
Overall size of the erosions/ulcersd	0	Up to 10 cm	>10–20 cm	>20–30 cm	>30 cm
Depth of the erosionse	0	1–10 superficial erosions	11–20 superficial erosions	21–30 superficial erosions	>30 superficial erosions/any number of deep erosions

Minimum score = 0; maximum score = 36.

^aNormal food is defined according to the individual, religious, economic, and environmental factors influencing patients' eating habits.

^bRaw solid diet includes raw carrot, pear, peanut, and almond. Cooked solid diet includes “chapatis,” cooked mutton/chicken, cooked vegetables, and steamed gram/corn. Semisolid diet consisted of porridge, “kheer,” mashed potatoes, and boiled pulses/sago. Liquid diet includes milk, buttermilk, fruit juices, water, etc.

^cOral cavity is divided into hard palate, soft palate, oropharynx, tongue, floor of mouth, upper and lower gingiva, upper and lower labial mucosa, and both buccal mucosa separately.

^dTotal sum of sizes of individual erosions was taken as the overall size of erosions/ulcers.

^eThe total number of superficial and deep erosions were counted.

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