Mogawer Rania M, Mostafa Wedad Z, Elmasry Maha Fathy
Dermatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
J Cosmet Dermatol. 2020 Oct;19(10):2679-2683. doi: 10.1111/jocd.13311. Epub 2020 Feb 3.
Vitiligo Area and Severity Index (VASI) is standing on the top of the cited and implemented scoring tools for vitiligo. However, an easily applicable and time-saving tool has been a need.
This cross-sectional study aimed at comparing the body surface area (BSA) calculation method used in Vitiligo Extent Score (VES) in comparison with the hand unit method used in VASI and to consider the implementation of VES as a user-friendly tool by doctors as applied to observed clinical patterns of NSV in our population.
For each patient with NSV, vitiligo was assessed using both VES and VASI as well as vitiligo disease extent by hand units.
Vitiligo extent score and VASI scores showed a strong significant correlation. Both scores were found reliable in spite of the presence of unrepresented areas in the VES with tendency of the values for the BSA by the VES to be lower than that by hand units.
In comparison with VASI, VES has proven to be a clear, user-friendly score for vitiligo assessment. However, special concern is to be given for required modification for pediatric population. A slight modification may be required regarding the pediatric population.
白癜风面积和严重程度指数（VASI）是白癜风领域被引用和应用最多的评分工具。然而，人们一直需要一种易于应用且节省时间的工具。
本横断面研究旨在比较白癜风范围评分（VES）中使用的体表面积（BSA）计算方法与VASI中使用的手部单位法，并探讨将VES作为医生应用于观察到的本群体非节段性白癜风临床模式的用户友好型工具的可行性。
对于每例非节段性白癜风患者，使用VES和VASI评估白癜风情况，并通过手部单位评估白癜风疾病范围。
白癜风范围评分和VASI评分显示出强烈的显著相关性。尽管VES中存在未涵盖的区域，且VES计算的BSA值有低于手部单位法计算值的趋势，但两种评分均被认为可靠。
与VASI相比，VES已被证明是一种用于白癜风评估的清晰、用户友好型评分。然而，对于儿童群体需要进行特殊调整。可能需要对儿童群体进行轻微调整。
