Palm Method:
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The Body Surface Area (BSA) calculation for rash estimates the percentage of skin surface 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:
Where:
Explanation: The patient's palm (including fingers) represents approximately 1% of their total body surface area. This method provides a quick clinical estimate.
Details: BSA assessment helps determine disease severity (e.g., psoriasis, eczema), guide systemic therapy decisions, and monitor treatment response.
Tips: Count the number of palm-sized areas affected by rash. For smaller areas, estimate the additional percentage (e.g., half palm = 0.5%).
Q1: How accurate is the palm method?
A: It provides a reasonable estimate (within 5-10% accuracy) for clinical purposes, though exact measurements may vary by individual.
Q2: What are the clinical thresholds for BSA?
A: For psoriasis: mild (<3%), moderate (3-10%), severe (>10%). Other conditions may use different thresholds.
Q3: Are there other methods to measure BSA?
A: Yes, the Rule of Nines (more accurate for burns) and digital planimetry (for precise measurements).
Q4: Does age affect palm size proportion?
A: Yes, children have larger palm-to-BSA ratios. Special pediatric charts may be needed for accurate assessment.
Q5: When is exact BSA measurement needed?
A: For clinical trials, precise treatment monitoring, or when small changes significantly impact management decisions.