Palm Method:
(1 palm ≈ 1% of total body surface area)
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The Body Surface Area (BSA) calculation estimates the percentage of skin affected by a rash or skin condition. It's commonly used in dermatology to assess severity and guide treatment decisions.
The calculator uses the palm method:
(1 palm ≈ 1% of total body surface area)
Where:
Explanation: The patient's palm (including fingers) represents about 1% of their total body surface area. This method provides a quick, practical estimate in clinical settings.
Details: Accurate BSA assessment helps determine rash severity, guide treatment decisions (especially for systemic therapies), monitor progression, and assess treatment response.
Tips: Count discrete palm-sized affected areas, then estimate any larger contiguous areas as multiples of palm size. For irregular shapes, mentally combine partial palm areas.
Q1: How accurate is the palm method?
A: It provides a good clinical estimate (within 5-10% accuracy) and is widely used in dermatology practice.
Q2: What constitutes mild, moderate, and severe involvement?
A: Generally: mild (<5% BSA), moderate (5-20% BSA), severe (>20% BSA), though condition-specific guidelines may vary.
Q3: How does this differ for children?
A: Children's body proportions differ - their palms represent a slightly higher percentage of total BSA (about 1.25% for infants).
Q4: Are there more precise methods?
A: Yes, the Rule of Nines or Lund-Browder charts are more precise but require more time and are less practical for quick assessments.
Q5: When is BSA particularly important?
A: Crucial for conditions like psoriasis when considering systemic/biologic therapy, and for toxic epidermal necrolysis (TEN) prognosis.