Can half points be used when grading intensity of lesions (eg, erythema or lichenification)? |
Half points may be used between points 1 and 3 (eg, 1.5 and 2.5 but not 0.5) as any sign present should be treated as at least mild |
How do we grade erythema in darkly pigmented skin? |
Clinicians must consider the underlying skin pigment when grading erythema, and this often means increasing the erythema grade by 1 |
Should prurigo nodules be included in grading? |
Prurigo nodules are included in the grading as areas of lichenification |
Can I use other methods to calculate the BSA for the EASI score? |
Although not recommended, clinicians using other BSA methods to calculate the EASI should report the modification in their article |
How do we calculate the EASI when a child turns 8 y old in a study? |
If a child turns 8 during the study, there is no clearly defined protocol, and the decision to switch scales should be determined on a case-by-case basis |
Is estimating the BSA different among age groups? |
No, the estimation methods remain the same. However, the multiplier in the EASI score changes between adults and children <8 y old (Fig. 1) |
How do I grade xerosis (dryness), ichthyosis, and hyperlinear palms? |
Unless there is active eczema in these areas, they are not included in the EASI assessment |