Kaplan et al evaluated clinical findings to determine the severity of urticaria.
Patient selection: chronic urticaria
Parameters:
(1) number of hives
(2) size of largest hive in cm
(3) pruritis (itching)
(4) severity of erythema
(5) interference with sleep
(6) interference with daily activities
Parameter |
Finding |
Points |
---|---|---|
number of hives |
0 (none) |
0 |
|
1 to 6 (mild) |
1 |
|
7 to 12 (moderate) |
2 |
|
> 12 (severe) |
3 |
size of largest hive |
none |
0 |
|
< 1.25 cm |
1 |
|
1.25 to 2.5 cm |
2 |
|
> 2.5 cm |
3 |
pruritis severity |
none |
0 |
|
mild |
1 |
|
moderate |
2 |
|
severe |
3 |
erythema severity |
none |
0 |
|
mild |
1 |
|
moderate |
2 |
|
severe |
3 |
interference with sleep |
none |
0 |
|
mild |
1 |
|
moderate |
2 |
|
severe |
3 |
interference with daily activities |
none |
0 |
|
little |
1 |
|
some, moderate |
2 |
|
marked, significant impact |
3 |
total score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: 18
• The higher the score the more severe the urticaria.
Purpose: To evaluate a patient with chronic urticaria using the urticaria severity score of Kaplan et al.
Specialty: Immunology/Rheumatology, Dermatology
Objective: severity, prognosis, stage
ICD-10: L50,