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. 2021 Nov 9;23(1):69–81. doi: 10.1007/s40257-021-00643-2

Table 2.

Post-inflammatory hyperpigmentation severity scale

Grade Overall disease severity Pigmentary intensity of hyperpigmented lesions Area of hyperpigmented lesions Degree of hypopigmentation Erythema, burning, peeling, dryness
0 Normal None (normal) None None None
1 Present but less than mild Trace (mild and localized) Trace (1–10% of face) Trace (slight and localized) Trace
2 Mild (slightly noticeable) Mild (mild and diffuse) Mild (11–25% of face) Mild (slight and diffuse) Mild
3 Between mild and moderate Moderate (moderate and diffuse) Moderate (26–40% of face) Moderate (noticeable and diffuse) Moderate
4 Moderate (noticeable) Marked (moderate and dense) Marked (41–50% of face) Marked (noticeable and dense) Marked
5 Between moderate and marked Severe (prominent and dense) Severe (> 50% of face) Severe (complete lack of melanin pigmentation) Severe
6 Marked (distinctive)
7 Between marked and severe
8 Severe (very distinctive)

Republished with permission from Callender VD et al, J Clin Aesthet Dermatol 2012 [20]; conveyed through Copyright Clearance Center, Inc.