Clinical marker Score
Xerosis 1
Freckles 1
Lentigines 1
Guttate hipomelanosis 1
Persistent hyperpigmentation 1
Fine wrinkles 1
Deep wrinkles 1
Stellate pseudoscars 1
Elastosis 1
Loss of elasticity 1
Telangiectasias 1
Venous lakes 1
Purpura 1
Comedones (Favre-Racouchot) 1
Actinic keratoses 10
Non melanoma skin cancer 10
Melanoma 10
0 points=no photodamage, 1-5 points=mild photodamage, 6-10 points=moderate actinic damage, ≥ 11 points=severe actinic damage
Table 1: Clinical markers of Chronic Actinic Damage (CAD).