assessment of severity of atopic eczema in a child
Last reviewed 10/2020
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 |
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