EASI (Eczema Area and Severity Index)

EASI (Hanifin 2001): atopic-dermatitis severity — per region grade erythema/edema/excoriation/lichenification 0–3 and enter % area; weights are age-dependent (0–72; Leshem strata).

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Age band (adult ≥ 8 yr / child < 8 yr) — sets the region weights
Adult / ≥ 8 years
Head / neck: erythema
1
Head / neck: edema / papulation
1
Head / neck: excoriation
1
Head / neck: % area involved
25
Lower limbs: erythema
2
Lower limbs: edema / papulation
2
Lower limbs: excoriation
2
Lower limbs: lichenification
2
Lower limbs: % area involved
60

Result: EASI 13.4/72 — moderate atopic dermatitis (adult (≥ 8 yr) weights).

The tool opens with these values already filled in. Replace them with your own.

What the result means

Bands
Leshem 2015: clear 0, almost clear 0.1–1.0, mild 1.1–7.0, moderate 7.1–21.0, severe 21.1–50.0, very severe 50.1–72.0.

What you enter

  • Age band (adult ≥ 8 yr / child < 8 yr) — sets the region weights
  • Head / neck: erythema (0–3)
  • Head / neck: edema / papulation (0–3)
  • Head / neck: excoriation (0–3)
  • Head / neck: lichenification (0–3)
  • Head / neck: % area involved (0–100)
  • Upper limbs: erythema (0–3)
  • Upper limbs: edema / papulation (0–3)
  • Upper limbs: excoriation (0–3)
  • Upper limbs: lichenification (0–3)
The other 11 fields
  • Upper limbs: % area involved (0–100)
  • Trunk: erythema (0–3)
  • Trunk: edema / papulation (0–3)
  • Trunk: excoriation (0–3)
  • Trunk: lichenification (0–3)
  • Trunk: % area involved (0–100)
  • Lower limbs: erythema (0–3)
  • Lower limbs: edema / papulation (0–3)
  • Lower limbs: excoriation (0–3)
  • Lower limbs: lichenification (0–3)
  • Lower limbs: % area involved (0–100)
How this is calculated
Formula
EASI = Σ (erythema + edema/papulation + excoriation + lichenification, each 0–3) × area 0–6 × age-weight. Adult head 0.1/upper 0.2/trunk 0.3/lower 0.4; child (< 8 yr) head 0.2/lower 0.3.

Hanifin JM, Thurston M, Omoto M, et al. The Eczema Area and Severity Index (EASI): assessment of reliability in atopic dermatitis. Exp Dermatol. 2001;10(1):11-18. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.