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. 2012 Jul;5(7):25–32.

TABLE 1.

Evaluator's global acne severity scale

GRADE VALUE DEFINITION
Clear 0 Normal, clear skin with no evidence of acne vulgaris
Almost clear 1 Rare noninflammatory lesions present, with rare noninflamed papules (papules must be resolving and may be hyperpigmented, though not pink-red)
Mild 2 Some noninflammatory lesions are present, with few inflammatory lesions (papules/pustules only, no nodulocystic lesions)
Moderate 3 Noninflammatory lesions predominate, with multiple inflammatory lesions evident; several to many comedones and papules/pustules; there may or may not be one small nodulocystic lesion
Severe 4 Inflammatory lesions are more apparent, many comedones and papules/pustules, there may or may not be a few nodulocystic lesions
Very severe 5 Highly inflammatory lesions predominate, variable number of comedones, many papules/ pustules, and many nodulocystic lesions

From: Schlessinger J, Menter A, Gold M, et al. Clinical safety and efficacy studies of a novel formulation combining 1.2% clindamycin phosphate and 0.025% tretinoin for the treatment of acne vulgaris. J Drugs Dermatol. 2007;6: 607-615.11