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EASI (Eczema Area and Severity Index)

Measures the severity of atopic dermatitis signs in four regions, with different weights for children aged up to 7 years. Recommended by the HOME initiative.

Arithmetic checks are available. Independent clinical review is pending. Inclusion in the catalogue does not constitute clinical validation.

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Method · Limits of application

EASI/Hanifin 2001 + official HOME guide (header “EASI guidance December14”): 4 regions and 4 signs; regional averages allow 1.5 and 2.5, but not 0.5; weights <8 / ≥8 years; total 0–72

The 2001 EASI study assessed reliability among trained dermatologists in people with atopic dermatitis, in groups aged <8 and ≥8 years. The version used must apply the corresponding age weights and adequately assess signs. Instrument reliability is not diagnostic validation or language approval for local translations. The official HOME guide directs assessment of the average intensity of each sign across the entire region: it allows 1.5 and 2.5, but not 0.5, because any present sign must score at least 1. Assessment includes only inflammatory eczema; xerosis, ichthyosis, keratosis pilaris, urticaria, infection without underlying eczema and post-inflammatory pigment changes do not enter the score. The technical check here covers the weighted sum, including the permitted half points, and does not approve severity cutoffs, clinical decisions, official translations or instrument rights.

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Conditions of use

Check the population, units, inclusion and exclusion criteria, and version in the original source. A result alone does not establish a diagnosis, discharge decision or prescription.

Documented parameters

  • Age
  • Head and neck: erythema
  • Head and neck: edema/papulation
  • Head and neck: excoriation
  • Head and neck: lichenification
  • Head and neck: affected regional area
  • Upper limbs: erythema
  • Upper limbs: edema/papulation
  • Upper limbs: excoriation
  • Upper limbs: lichenification
  • Upper limbs: affected regional area
  • Trunk: erythema
  • Trunk: edema/papules
  • Trunk: excoriation
  • Trunk: lichenification
  • Trunk: affected regional area
  • Lower limbs: erythema
  • Lower limbs: edema/papules
  • Lower limbs: excoriation
  • Lower limbs: lichenification
  • Lower limbs: affected regional area

4/4 reference cases checked. Numerical tests are not clinical validation.

Relationship with cancer research

General context — relationship to be defined

A resource for general clinical contexts. This edition does not assign a specific oncological relationship; selecting it for a study requires a justified question, population and purpose.

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