Skip to main content

Table 1 Photodamage Score

From: Daylight photodynamic therapy versus cryosurgery for the treatment and prophylaxis of actinic keratoses of the face − protocol of a multicenter, prospective, randomized, controlled, two-armed study

Score 0 1 2 3 4
Global score for photoaging facial skin smooth to the touch, no significant fine lines, uneven pigmentation, deep wrinkles, erythema, teleangiectasias, sebaceous gland hyperplasia on the cheeks, forehead, or in the perioral area one area (cheeks, forehead, or perioral area) of significant roughness, deep wrinkles, erythema, teleangiectasias, sebaceous gland hyperplasia, dyspigmentation or fine lines two areas of significant roughness, deep wrinkles, erythema, teleangiectasias, sebaceous gland hyperplasia, dyspigmentation or fine lines or one area of significant roughness, deep wrinkles, erythema, teleangiectasias, sebaceous gland hyperplasia, dyspigmentation and fine lines three areas of significant roughness, deep wrinkles, erythema, teleangiectasias, sebaceous gland hyperplasia, dyspigmentation or fine lines or one area of significant roughness, deep wrinkles, erythema, teleangiectasias, sebaceous gland hyperplasia, dyspigmentation and fine lines facial skin with photodamage higher than grade 3
Fine lines none very few, widely disseminated lines some discreet lines a moderate number of lines, in close proximity many lines, in close proximity
Mottled pigmentation evenly pigmented skin minor hypo-pigmentation or hyper-pigmentation small areas of very light hypo-pigmentation or hyper-pigmentation or moderately sized areas of light hypo-pigmentation or hyper-pigmentation moderate hypo-pigmentation or hyper-pigmentation or small areas of pronounced hypo- pigmentation or hyper-pigmentation major hypo- pigmentation or hyper-pigmentation
Skin color pale pink pale yellowish, greyish pale, slightly yellowish-greyish pale, distinctly yellowish-greyish
Tactile roughness soft skin soft, some rough areas minor roughness moderate roughness major roughness
Teleangiectasias none rare, widely disseminated some discreet teleangiectasias a moderate number of teleangiectasias, in close proximity many teleangiectasias, in close proximity
Deep wrinkles none superficial wrinkles in one area superficial wrinkles in more than one area or moderately deep wrinkles in one area moderately deep wrinkles in more than one area or deep wrinkles in one area deep wrinkles in more than one area
Facial erythema none small areas with slight erythema small areas with moderate erythema or moderately sized areas with slight erythema moderately sized areas with erythema large areas with erythema
Sebaceous gland hyperplasia none some in one area some in several areas or several in one area a moderate number in several areas or many in close proximity in one area many in close proximity in more than one area
  1. Photodamage variables to be evaluated are fine lines, mottled pigmentation, tactile roughness, sallowness, teleangiectasias, and global score for photoaging. Each photodamage variable is recorded on a 5-point scale (0–4, higher points indicating higher damage, modified after Dover 2005 und Zane 2007)