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Assessment of severity of atopic eczema in a child

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

NICE suggest that "...healthcare professionals should adopt a holistic approach when assessing a child's atopic eczema at each consultation, taking into account the severity of the atopic eczema and the child's quality of life, including everyday activities and sleep, and psychosocial wellbeing.." (1)

Skin/physical severity

Detailed Description

Impact on quality of life and psychosocial wellbeing

Detailed Description

clear

Normal skin, no evidence of active atopic eczema

none

No impact on quality of life

mild

Areas of dry skin, infrequent itching (with or without small areas of redness

mild

Little impact on everyday activities, sleep and psychosocial wellbeing

moderate

Areas of dry skin, frequent itching, redness (with or without excoriation and localised skin thickening)

moderate

Moderate impact on everyday activities and psychosocial wellbeing, frequently disturbed sleep

severe

Widespread areas of dry skin, incessant itching, redness (with or without excoriation, extensive skin thickening, bleeding, oozing, cracking and alteration of pigmentation)

severe

Severe limitation of everyday activities and psychosocial functioning, nightly loss of sleep

Reference:


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