Patient selection: hand eczema
Sites assessed:
(1) fingertips
(2) fingers other than tips
(3) palms of the hands
(4) back of hands
(5) wrists
Both left and right sides are evaluated together for each measure.
|
Percent of Each Site Involved
|
Points
|
|
0%
|
0
|
|
1 to 25%
|
1
|
|
26 to 50%
|
2
|
|
51 to 75%
|
3
|
|
> 75%
|
4
|
Changes graded individually:
(1) erythema
(2) infiltration/papulation
(3) vesicles
(4) fissures
(5) scaling
(6) edema
|
Severity of Each Change
|
Points
|
|
none
|
0
|
|
mild
|
1
|
|
moderate
|
2
|
|
severe
|
3
|
subscore for each site =
= SUM(points for severity for the 6 changes) * (points for extent)
total score =
= SUM(subscores for each of the 5 sites)
Interpretation:
• minimum subscore for each site: 0
• maximum subscore for each site: 72
• maximum score for all 5 sites: 360
• The higher the total score the more severe the hand eczema.
Performance:
• Intraobserver and interobserver reliability was good.
