Table 1.
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% |