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. 2022 Jul 26;47(10):1812–1819. doi: 10.1111/ced.15278

Table 1.

The Hanifin and Rajka diagnostic criteria for atopic dermatitis.

Major criteria (≥ 3 required) Minor criteria (≥ 3 required)
1 Pruritus 1 Xerosis
2 Typical morphology and distribution: 2 Ichthyosis, palmar hyperlinearity, or keratosis pilaris
Flexural lichenification or linearity in adults 3 Immediate (type 1) skin‐test reactivity
Facial and extensor involvement in infants and children 4 Raised serum IgE
3 Chronic or chronically relapsing dermatitis 5 Early age of onset
4 Personal or family history of atopy (asthma, allergic rhinitis, atopic dermatitis) 6 Tendency toward cutaneous infections (especially Staphylococcus aureus and herpes simplex) or impaired cell‐mediated immunity
7 Tendency toward nonspecific hand or foot dermatitis
8 Nipple eczema
9 Cheilitis
10 Recurrent conjunctivitis
11 Dennie–Morgan infraorbital fold
12 Keratoconus
13 Anterior subcapsular cataracts
14 Orbital darkening
15 Facial pallor or facial erythema
16 Pityriasis alba
17 Anterior neck folds
18 Itch when sweating
19 Intolerance to wool and lipid solvents
20 Perifollicular accentuation
21 Food intolerance
22 Course influenced by environmental or emotional factors
23 White dermographism or delayed blanch