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. Author manuscript; available in PMC: 2020 Aug 1.
Published in final edited form as: J Allergy Clin Immunol Pract. 2019 Aug 29;8(1):91–101. doi: 10.1016/j.jaip.2019.06.044

TABLE III.

Scoring systems for assessment AD severity3642

Scoring system Parameters assessed Severity rating Validated
EASI (Eczema Area and Severity Index) Area affected (percentage) for 4 regions, severity for regions Clear (0)
Almost clear (0.1-1.0)
Mild (1.1-7)
Moderate (7.1-21)
Severe (21.1-50)
Very severe (50.1-72)
SCORAD (SCORing Atopic Dermatitis) Extent (sites affected + area percentage), intensity of lesions, patient-reported intensity of itch, and sleep loss Clear (0-9.9)
Mild (10.0-28.9)
Moderate (29.0-48.9)
Severe (49.0-103)
PO-SCORAD (Patient-Oriented SCORAD) Extent (sites affected + area percentage), intensity of lesions, intensity of itch and sleep difficulties (assessed by patient or parent/caregiver) Clear (0-9.9)
Mild (10-28.9)
Moderate (29-48.9)
Severe (49-103)
POEM (Patient-Oriented Eczema Measure) 7 symptoms scored over past week (itch, sleep, bleeding, weeping/oozing, cracking, flaking, and dryness/roughness) Clear/almost clear (0-2)
Mild (3-7)
Moderate (8-16)
Severe (17-24)
Very severe (25-28)
Mild (0-5)
Moderate (6-10)
Severe (11-30)
Pruritus-NRS (Pruritus Numerical Rating Scale) Patient-reported itch, scale of 1-10 (0 = no itch; 10 = worst itch imaginable) Mild (0-3) No
Moderate (4-6)
Severe (7-10)
TIS (Three-Item Severity Scale) Subjective evaluation of 3 intensity items (erythema, edema/papulation, and excoriations) for a representative lesion (scale of 1-3 for each) Mild (0-2) No
Moderate (3-5)
Severe (6-9)
IGA (Investigator Global Assessment) FDA categorization of AD severity based on the investigator's subjective assessment of a representative lesion 0 = clear No
1 = almost clear
2 = mild
3 = moderate
4 = severe

AD, Atopic dermatitis; FDA, Food and Drug Administration; QOL, quality of life.