TABLE 1.
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