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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.

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HEAD

HEAD

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ARMS

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TRUNK

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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

HEAD - Infiltration (I)

0 = none

1 = mild

2 = moderate

3 = severe

HEAD - Excoriation (EX)

0 = none

1 = mild

2 = moderate

3 = severe

HEAD - Lichenification (L)

0 = none

1 = mild

2 = moderate

3 = severe

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 - Infiltration (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 - Infiltration (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 - Infiltration (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)

Infiltration (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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