Table 2.

AFAST rating scale for adult female acne

AFAST SCALE (Adult Female Acne Scoring Tool)
Score 1: Assess the severity of acne on face (GEA SCORE)
0	No acne lesions or almost no lesions	Residual pigmentation or erythema
1	Almost no lesions	Few open or closed comedones - Few papules
2	Mild	Less than half of the face involved - Few comedones, papules and pustules
3	Moderate	More than half of the face involved - Numerous papules, pustules, comedones and up to a nodule
4	Severe	Entire face - Numerous papules, pustules, comedones and rare nodules
5	Very Severe	Very inflammatory on the entire face, with nodules
Score 2: Assess the severity of acne in the submandibular zone
0	No lesions - Erythema and postinflammatory hyperpigmentation
1	Rare papules, pustules and/or comedones
2	Few papules, pustules and/or comedones - Less than 25% of the affected area - A nodule/cyst may be present
3	Numerous papules, pustules and/or comedones and at least 25% of the affected area - Two or more nodules/cysts

Adapted from Aufret, et al, 2016¹²