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Psoriasis Management Progress Tracking Chart

A Tool for Monitoring Your Psoriasis Treatment Journey

Dermatology

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Last updated: Mar 24, 2025

Patient Information

Name: ___________________
Date Started: _____________

Severity Assessment Scale

0 = Clear skin
1 = Minimal (slight redness, minimal scaling)
2 = Mild (pink/light red, mild scaling)
3 = Moderate (red, moderate scaling)
4 = Severe (very red, thick scaling)

Weekly Tracking

Week 1-4

Date	Severity (0-4)	Itching (0-4)	Location	Treatment Used	Notes
____	_____	_____	_________	_____________	_____
____	_____	_____	_________	_____________	_____
____	_____	_____	_________	_____________	_____
____	_____	_____	_________	_____________	_____

Triggers Noticed

□ Stress
□ Weather changes
□ Skin injury
□ Medications
□ Other: _________

Monthly Assessment

Changes in Affected Areas

Total body surface area: ____%
Most troublesome areas: _________________

Treatment Adherence

Medications taken as prescribed: □ Yes □ No
Missed applications/doses: _____
Side effects experienced: ________________

Notes for Next Appointment

Questions for doctor: ____________________ Concerns: _____________________________

Next appointment date: __________________

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