Clinical Severity Scale of Pocaterra et al for Erythema Nodosum Leprosum (ENL)

Description

Pocaterra et al developed a grading scale for clinical severity of erythema nodosum leprosum (ENL). The authors are from the London School of Hygiene and Tropical Medicine, Blue Peter Research Centre Cherlapally (Hyderabad) and Universidad Cemtral de Venezuela.

Parameters:

(1) skin nodules

(2) systemic features

(3) response to steroid therapy

Skin Nodules	Systemic Features	Severity of ENL
1 or 2 nontender	nonspecific with no or low grade fever	very mild
few tender	low grade fever, malaise, joint pain	mild
few tender	neuritis or more than 3 systemic features	moderate
many tender	high grade fever, dehydration, severe neuritis, iritis, orchitis	severe

Severity of ENL	Response to Steroids	Score
none	NA	0
very mild	NA	1
mild	NA	2
very mild or mild	asymptomatic	3
mild to moderate	mild symptoms	4
moderate	NA	5
severe	NA	6
moderate to severe	mild to moderate on >= 10 mg of oral prednisone	7 (intractable)

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Description

Specialty

ICD-10