Abstract: Psoriasis is a chronic inflammatory skin condition
which affects 2-3% of population around the world. Psoriasis Area
and Severity Index (PASI) is a gold standard to assess psoriasis
severity as well as the treatment efficacy. Although a gold standard,
PASI is rarely used because it is tedious and complex. In practice,
PASI score is determined subjectively by dermatologists, therefore
inter and intra variations of assessment are possible to happen even
among expert dermatologists. This research develops an algorithm to
assess psoriasis lesion for PASI scoring objectively. Focus of this
research is thickness assessment as one of PASI four parameters
beside area, erythema and scaliness. Psoriasis lesion thickness is
measured by averaging the total elevation from lesion base to lesion
surface. Thickness values of 122 3D images taken from 39 patients
are grouped into 4 PASI thickness score using K-means clustering.
Validation on lesion base construction is performed using twelve
body curvature models and show good result with coefficient of
determinant (R2) is equal to 1.