Score of Lebwohl et al for Grading the Local Adverse Effects of a Topical Medication

 

Parameters:

(1) erythema

(2) scaling or flaking

(3) crusting

(4) swelling

(5) vesicles or pustules

(6) erosion or ulceration

Finding	Points
none	0
minimal or slight	1
mild	2
moderate	3
severe	4

 

total adverse skin score =

= SUM(points for all 6 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 24

• The higher the score the more severe the local skin reaction.