NICE holistic assessment5
| Skin/physical severity | Impact on quality of life | ||
|---|---|---|---|
| Clear | Normal skin, no evidence of active atopic eczema | None | No impact on quality of life |
| Mild | Areas of dry skin, infrequent itching (with or without small areas of redness) | Mild | Little impact on everyday activities, sleep and psychosocial wellbeing |
| Moderate | Areas of dry skin, frequent itching, redness (with or without excoriation and localised skin thickening) | Moderate | Moderate impact on everyday activities and psychosocial wellbeing, frequently disturbed sleep |
| Severe | Widespread areas of dry skin, incessant itching, redness (with or without excoriation, extensive skin thickening, bleeding, oozing, cracking and alteration of pigmentation) | Severe | Severe limitation of everyday activities and psychosocial functioning, nightly loss of sleep |
There is not necessarily a direct relationship between the severity of the atopic eczema and the impact of the atopic eczema on quality of life.