Evidence map›Paper›PMID 33842652›Full record

ReviewAnnals of translational medicine2021

The CLASI, a validated tool for the evaluation of skin disease in lupus erythematosus: a narrative review.

Srita Chakka, Rebecca L Krain, Josef Symon S Concha, Benjamin F Chong, Joseph F Merola, Victoria P Werth

Open access · diamondAbstract readReview
In one paragraph

Review in Annals of translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Litifilimab efficacy on skin outcomes in cutaneous lupus erythematosus in the Phase 2 LILAC study.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Trial
  4. Trial
  5. Review
  6. Review
  7. Article
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  9. A case of pulmonary and cutaneous sarcoidosis.Breathe (Sheffield, England) · 2025
    Article
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  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Srita ChakkaCorporal Michael J. Crescenz VAMC, Philadelphia, PA, USA.
Rebecca L KrainCorporal Michael J. Crescenz VAMC, Philadelphia, PA, USA.
Josef Symon S ConchaCorporal Michael J. Crescenz VAMC, Philadelphia, PA, USA.
Benjamin F ChongDepartment of Dermatology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Joseph F MerolaDepartment of Dermatology and Department of Medicine, Division of Rheumatology, Harvard Medical School, Brigham and Women's Hospital, Boston, MA, USA.
Victoria P WerthCorporal Michael J. Crescenz VAMC, Philadelphia, PA, USA.
Philadelphia VA Medical Center · USBrigham and Women's Hospital · USThe University of Texas Southwestern Medical Center · USUniversity of Pennsylvania · US

Funding

Optimization of Clinical Trial Design in Cutaneous LupusR01AR071653 · NIAMS · UT SOUTHWESTERN MEDICAL CENTER · PI CHONG, BENJAMIN FRANKLIN, WERTH, VICTORIA P · 2018 to 2020
$653k
NIAMS NIH HHS R01 AR071653
6 · The paper itself

Abstract

Cutaneous lupus erythematosus (CLE) can present with or without features of systemic lupus erythematosus (SLE), with estimates of the incidence of isolated skin disease almost equaling the incidence of those with systemic disease. However, despite the impact CLE has on a patient's quality of life (QoL), there has been no US Food and Drug Administration (FDA) approved treatment for the disease in the past 50 years. In addition, patients with skin predominant LE are often excluded from clinical SLE trials. In the rare trials that include patients with skin predominant LE, disease activity and progression in the skin are often difficult to evaluate using multi-organ outcome measures. The need for new therapies for CLE and the lack of focus on skin outcomes has led to the development of the Cutaneous Lupus Disease Area and Severity Index (CLASI), a validated organ-specific outcome measure that is not only responsive to change in disease activity and damage but also correlated to changes in a patient's QoL. This paper will emphasize the extensive validation studies performed in developing the CLASI, as well as the importance of clinical trials using the CLASI to address the need for improved therapies for patients with lupus skin manifestations.

Indexed as

autoimmune skin diseaseCutaneous lupus erythematosus (CLE)outcome measuresvalidation study

Identifiers

PMID33842652
PMCPMC8033342
OpenAlexW3090895761

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.