PMID- 23621659
OWN - NLM
STAT- MEDLINE
DCOM- 20140311
LR  - 20130814
IS  - 1365-2133 (Electronic)
IS  - 0007-0963 (Linking)
VI  - 169
IP  - 2
DP  - 2013 Aug
TI  - How big is your hand and should you use it to score skin in cutaneous T-cell 
      lymphoma?
PG  - 260-5
LID - 10.1111/bjd.12403 [doi]
AB  - Assessing burn surface area is essential to triage patients and determine fluid 
      resuscitation. The three commonly used methods are: (i) the palmar method, where 
      palmar surface area is assumed to equal 1% of body surface area (BSA); (ii) the 
      rule of nines; and (iii) the Lund and Browder method, where body parts are 
      assigned a percentage surface area. Calculation of BSA involvement in 
      dermatological disease is used to measure disease severity and treatment 
      responses. The grid-point counting method may also be used. Mycosis fungoides 
      (MF), a form of cutaneous T-cell lymphoma, typically presents with patches and 
      plaques with progression to tumours and erythroderma in advanced disease. 
      Quantifying skin involvement in MF requires assessment of both BSA involvement 
      and lesion type. The severity-weighted assessment tool (SWAT) was designed for 
      this purpose, using grid-point counting, and weighting patch as x 1, plaque as x 
      2 and tumour as x 3. The SWAT was modified in an international consensus paper to 
      use Lund and Browder charts, and the weighting of tumours was increased to x 4. 
      The patients' palm or hand is frequently the method of choice for skin scoring. 
      However, both the definition of the palm and whether this includes the fingers or 
      even the thumb, and the percentage BSA assigned to the palm, vary in the 
      literature. A review of published planimetry studies found that the most 
      consistent measure across age and race was the palm without fingers reflecting 
      0.5% total BSA. We recommend the use of the patient's palm to represent 0.5% BSA 
      as the most convenient and reliable tool to measure surface area, and we 
      introduce an iPhone application to record BSA electronically and calculate 
      modified SWAT.
CI  - (c) 2013 British Association of Dermatologists.
FAU - Scarisbrick, J J
AU  - Scarisbrick JJ
AD  - Department of Dermatology, University Hospital Birmingham, Birmingham, B15 2TH, 
      U.K.
FAU - Morris, S
AU  - Morris S
LA  - eng
PT  - Journal Article
PT  - Review
PL  - England
TA  - Br J Dermatol
JT  - The British journal of dermatology
JID - 0004041
SB  - IM
MH  - Body Surface Area
MH  - Hand/*pathology
MH  - Humans
MH  - Lymphoma, T-Cell, Cutaneous/*pathology
MH  - Neoplasm Staging
MH  - Organ Size
MH  - Skin Neoplasms/*pathology
EDAT- 2013/04/30 06:00
MHDA- 2014/03/13 06:00
CRDT- 2013/04/30 06:00
PHST- 2013/04/17 00:00 [accepted]
PHST- 2013/04/30 06:00 [entrez]
PHST- 2013/04/30 06:00 [pubmed]
PHST- 2014/03/13 06:00 [medline]
AID - 10.1111/bjd.12403 [doi]
PST - ppublish
SO  - Br J Dermatol. 2013 Aug;169(2):260-5. doi: 10.1111/bjd.12403.