Centre of Evidence Based Dermatology

Nottingham Eczema Severity Score (NESS)

The aim of this severity assessment is to provide an assessment of clinical severity of atopic eczema (AE) using a single practical evaluation based on the following parameters: (i) clinical duration of AE; (ii) intensity as measured by average sleep disturbance; and (iii) extent of disease involvement. The evaluation is intended to allow cases to be graded into the categories of mild, moderate and severe based on a combination of clinical symptoms in the past 12 months and a single clinical examination.


Emerson RM, Charman CR, Williams HC 'The Nottingham Eczema Severity Score: preliminary refinement
of the Rajka and Langeland grading
' Brit Journ Derm 2000;142;288-297

Hon et al 2003 'Validation of a Self-Administered Questionnaire in Chinese in the Assessment of Eczema Severity' Ped Derm Vol 20 No 6;465-469;2003


Centre of Evidence Based Dermatology

The University of Nottingham
Applied Health Research Building
University Park, Nottingham

telephone: +44 (0) 115 84 68631
email: cebd@nottingham.ac.uk