Leeds Enthesitis Index (LEI)

Leeds Enthesitis Index (LEI; Healy 2008): count of tender entheses used mainly in psoriatic arthritis.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Left Achilles insertion tender
Yes
Right Achilles insertion tender
Yes
Left lateral epicondyle tender
Yes

Result: LEI 3 of 6 — enthesitis at 3 of 6 sites.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Sites
bilateral lateral epicondyle of the humerus, medial femoral condyle, and Achilles insertion - each tender (1) or not (0) = 0-6.
Use
No severity cut-points; a count of involved entheses to gauge burden and track change (psoriatic arthritis). Assesses only these six sites.

What you enter

  • Left lateral epicondyle tender
  • Right lateral epicondyle tender
  • Left medial femoral condyle tender
  • Right medial femoral condyle tender
  • Left Achilles insertion tender
  • Right Achilles insertion tender
How this is calculated

Healy PJ, Helliwell PS. Measuring clinical enthesitis in psoriatic arthritis: assessment of existing measures and development of an instrument specific to psoriatic arthritis. Arthritis Rheum. 2008;59(5):686-691. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.