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Ekzema Area and Severity Index

How old is the patient?

Under 8 years of age

8 years or above

Choose the body region.

btn-img js-head

btn-img js-head-checked

HEAD

HEAD

btn-img js-btn-arms

btn-img js-btn-arms-checked

ARMS

btn-img js-btn-trunk

btn-img js-trunk-checked

TRUNK

btn-img js-legs

btn-img js-legs checked

LEGS

LEGS

HEAD - Area / Involvement (BSA)

0

<10%

10-29%

30-49%

50-69%

70-89%

90-100%

Head result 1

HEAD - Erythema (E)

0 = none

1 = mild

2 = moderate

3 = severe

erythem1

erythem2

erythem3

erythem4

HEAD - Induration (I)

0 = none

1 = mild

2 = moderate

3 = severe

odem1

odem2

odem3

odem4

HEAD - Excoriation (EX)

0 = none

1 = mild

2 = moderate

3 = severe

exkori1

exkori2

exkori3

exkori4

HEAD - Lichenification (L)

0 = none

1 = mild

2 = moderate

3 = severe

lichen1

lichen2

lichen3

lichen4

ARMS - Area / Involvement (BSA)

0

<10%

10-29%

30-49%

50-69%

70-89%

90-100%

Arms 1

ARMS - Erythema (E)

0 = none

1 = mild

2 = moderate

3 = severe

ARMS - Induration (I)

0 = none

1 = mild

2 = moderate

3 = severe

ARMS - Excoriation (EX)

0 = none

1 = mild

2 = moderate

3 = severe

ARMS - Lichenification (L)

0 = none

1 = mild

2 = moderate

3 = severe

TRUNK - Area / Involvement (BSA)

0

<10%

10-29%

30-49%

50-69%

70-89%

90-100%

Trunk result 1

TRUNK - Erythema (E)

0 = none

1 = mild

2 = moderate

3 = severe

TRUNK - Induration (I)

0 = none

1 = mild

2 = moderate

3 = severe

TRUNK - Excoriation (EX)

0 = none

1 = mild

2 = moderate

3 = severe

TRUNK - Lichenification (L)

0 = none

1 = mild

2 = moderate

3 = severe

LEGS - Area / Involvement (BSA)

0

<10%

10-29%

30-49%

50-69%

70-89%

90-100%

Legs 1

LEGS - Erythema (E)

0 = none

1 = mild

2 = moderate

3 = severe

LEGS - Induration (I)

0 = none

1 = mild

2 = moderate

3 = severe

LEGS - Scaling (S)

0 = none

1 = mild

2 = moderate

3 = severe

LEGS - Lichenification (L)

0 = none

1 = mild

2 = moderate

3 = severe

Total EASI

Total EASI

Device

Device

Device

Please collect the EASI (Eczema Area and Severity Index) from the patient.

You only need to fill in the bold framed fields. The sums and products are calculated automatically during the statistical evaluation.

1) Severity of eczema lesions

Please circle a number for each lesion and location below.

0 = none 1 = mild 2 = moderate 3 = severe

Area / Involvement (BSA)

Erythema (E)

Induration (I)

Excoriation (EX)

Lichenification (L)

Total

2) Body surface involvement

In line 6, please note the affected area for the respective localization. Circle the numbers in front of the percentages.

If you want to determine the EASI yourself:

Overall EASI

*fo

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