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. 2020 Apr 15;30(9):779–793. doi: 10.1038/s41422-020-0309-6

Table 2.

NCI-CTCAE version 4.03 grading of HFSR.

Grade Description
I Minimal skin changes or dermatitis (e.g., erythema, edema, or hyperkeratosis) without pain
II Skin changes (e.g., peeling, blisters, bleeding, edema, or hyperkeratosis) with pain; limiting instrumental ADL
III Severe skin changes (e.g., peeling, blisters, bleeding, edema, or hyperkeratosis) with pain; limiting self-care ADL

ADL activities of daily living, HFSR hand–foot skin reaction, NCI-CTCAE National Cancer institute Common Terminology Criteria for Adverse Events.