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Symptom Score of Mlynek et al for a Patient with Chronic Urticaria

Purpose: To evaluate a patient with chronic urticaria based on the daily severity of 5 findings as reported by Mlynek et al.

Description

Mlynek et al scored several clinical findings in a patient being treated for chronic urticaria. This can be used to monitor the patient to determine the effectiveness of therapy. The authors are  from Charite-Universitatsmedizin Berlin, Medical Uniersity Lodz (Poland), and University Hospital Mainz.


Patient selection: chronic urticaria

 

Parameters:

(1) number of wheals and erythemas

(2) pruritis (itching)

(3) duration per day

(4) size of largest skin lesion in cm

(5) number of angioedemas per day

 

Parameter

Finding

Points

number of wheals

0 (none)

0

 

1 to 9 (mild)

1

 

10 to 50 (moderate)

2

 

> 50 (severe)

3

pruritis severity

none

0

 

mild

1

 

moderate

2

 

severe

3

duration of symptoms

none

0

 

< 1 hour per day

1

 

1 to 3 hours per day

2

 

> 3 hours per day

3

size of largest skin lesion

none

0

 

< 1 cm

1

 

1 to 3 cm

2

 

> 3 cm

3

number of angioedemas

none

0

 

1 per day

1

 

2 or 3 per day

2

 

4 or more per day

3

 

where:

• The number wheals and severity of pruritis are features of the daily urticaria activity score (UAS).

 

total daily score =

= SUM(points for all 5 parameters)

 

Interpretation:

• minimum total score: 0

• maximum total score: 15

• The number of items at each level (none, mild, moderate, severe) can also be recorded.


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Specialty

Objective

ICD-10