Atopic Dermatitis – Hanifin and Rajka criteria

Atopic Dermatitis

Hanifin and Rajka criteria

Major criteria (need 3 or more) are as follows:

  1. Pruritus
  2. Typical morphology and distribution
  3. Flexural lichenification in adults
  4. Facial and extensor involvement in infants and children
  5. Dermatitis – Chronically or chronically relapsing
  6. Personal or family history of atopy (asthma, allergic rhinitis, atopic dermatitis)

Minor criteria (need 3 or more) are as follows:

  1. Cataracts
  2. Cheilitis
  3. Conjunctivitis – Recurrent
  4. Eczema – Perifollicular accentuation
  5. Facial pallor or erythema
  6. Food intolerance
  7. Hand dermatitis – Nonallergic
  8. Ichthyosis
  9. IgE – Elevated
  10. Immediate (type I) skin test reactivity
  11. Infections (cutaneous)
  12. Dennie-Morgan infraorbital fold
  13. Itching when sweating
  14. Keratoconus
  15. Keratosis pilaris
  16. Nipple dermatitis
  17. Orbital darkening
  18. Palmar hyperlinearity
  19. Pityriasis alba
  20. White dermographism
  21. Wool intolerance
  22. Xerosis
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