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. 2021 May 21;8:662640. doi: 10.3389/fmed.2021.662640

Table 1.

Investigator's assessment scale (IGA) for acne severity combined with post-inflammatory hyperpigmentation severity.

Definition Grade Number of papules and pustules (half of the face) Pigmentary intensity of hyperpigmented lesions Area of hyperpigmented lesions (% facial area)
Clear or almost clear Residual hyperpigmentation and erythema may be present. A few scattered comedones and a few small papules. 0 <10 None or trace 0–10%
Mild Easily recognizable; less than half the face is involved. Some comedones and some papules/pustules. 1
2
3
10–25
26–50
51–75
Mild (localized) 11–25%
Moderate More than half of the face is involved. Many comedones, papules/pustules. One nodule may be present. 4
5
6
76–100
>100
With 0 or 1 nodules or cysts
Moderate (diffused) 26–50%
Severe Entire face is involved. Covered with comedones, papules/pustules. Presence of nodules/cysts. 7 With 2–4 nodules or cysts Severe (prominent) >50%