macular disease |
erythematous, hyper- or hypopigmented flat marks visible to patient or observer irrespective of distance |
erythematous hyper or hypopigmented flat marks |
mild disease |
mild atrophy or hypertrophy that may not be obvious at social distance of 50 cm or greater and may be covered adequately by makeup or the normal shadow of shaved beard hair in males or normal body hair if extrafacial |
mild rolling, small soft papular |
moderate disease |
moderate atrophic or hypertrophic scar that is obvious at social distance of 50 cm or greater and is not covered easily by makeup or the normal shadow of shaved beard hair but is still able to be flattened by manual stretching of the skin |
more significant rolling, shalloe “boxscar”, mild to moderate hypertrophic or opular scars |
severe disease |
severe atrophic or hypertrophic scar that is obvious at social distance of 50 cm or greater and is not covered easily by makeup or the normal shadow of shaved beard hair in males or body hair (if extrafacial) and is not able to be flattened by manual stretching of the skin |
punched out atrophic (deep “boxscar”), “icepick”, bridges and tunnels, gross atrophy, dystrophic scars significant hypertrophy or keloid |