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Assessment of severity of atopic eczema in a child

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

NICE suggest that " professionals should adopt a holistic approach when assessing a child's atopic eczema at each consultation, taking into account the severity of the atopic eczema and the child's quality of life, including everyday activities and sleep, and psychosocial wellbeing.." (1)

Skin/physical severity

Detailed Description

Impact on quality of life and psychosocial wellbeing

Detailed Description


Normal skin, no evidence of active atopic eczema


No impact on quality of life


Areas of dry skin, infrequent itching (with or without small areas of redness


Little impact on everyday activities, sleep and psychosocial wellbeing


Areas of dry skin, frequent itching, redness (with or without excoriation and localised skin thickening)


Moderate impact on everyday activities and psychosocial wellbeing, frequently disturbed sleep


Widespread areas of dry skin, incessant itching, redness (with or without excoriation, extensive skin thickening, bleeding, oozing, cracking and alteration of pigmentation)


Severe limitation of everyday activities and psychosocial functioning, nightly loss of sleep


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