Evaluation

Does the patient have atopic dermatitis?

Age of patient

years

Percent involvement (enter as an integer from 0 to 100) of:

• head, anterior

percent

• head, posterior

percent

• trunk, anterior

percent

• trunk, posterior

percent

• genitals

percent

• left arm anterior

percent

• left arm posterior

percent

• right arm anterior

percent

• right arm posterior

percent

• left leg anterior

percent

• left leg posterior

percent

•right leg anterior

percent

•right leg posterior

percent

Select an appropriate answer for each question

Erythema

Edema or papulation

Oozing or crust

Excoriation

Lichenification

Dryness in uninvolved areas

Pruritis intensity from 0 (none) to 10 (extreme)

Sleep loss from 0 (none) to 10 (extreme)

Results

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