Revised Cutaneous Lupus Erythematosus Disease Area and Severity Index (RCLASI) can be used to evaluate a patient with cutaneous lupus erythematosus. One measure is the activity of alopecia. The authors are from the University of Muenster, University of Dusseldorf, and Fachklinik Bad Bentheim in Germany
Parameters:
(1) diffuse alopecia (without scarring)
(2) lupus hair or wooly hair (without scarring): thin, weakened hair that easily fragments above the surface of the scalp
Diffuse Alopecia
Points
none
0
slight diffuse effluvium
1
marked diffuse effluvium with partly visible scalp
2
severe diffuse effluvium affecting the entire scalp
3
Lupus or Wooly Hair
Points
none
0
present
3
total activity score for alopecia =
= (points for diffuse alopecia) + (points for lupus or wooly hair)
Interpretation:
• minimum score: 0
• maximum score: 6
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