Severity Score Erythema Scaling Induration Fissure/ulcer
Clear 0 No sign No sign No sign No sign
Mild 1 Light to dark Fine, white Light palpable Superficial, few
pink elevation (0.5mm)
Moderate 2 Red (not dark) Diffuse, thick, Moderate Intermediate depth,
most lesions definitive elevation multiple fissures
partly covered (0.75 mm)
Severe 3 Deep red to Very thick coverage, Noticable height Numerous/
purple all lesions covered (at least 1 mm) deep lesions
Table 2. Severity scores of lesions before treatment.