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Pediatric Crohn’s Disease Activity Index (PCDAI)

Abdominal pain
None 0
Mild: Does not interfere with activities 5
Moderate/Severe: Daily, longer lasting, affects activities, nocturnal 15
Stools per day
0–1 liquid stools, no blood 0
2-5 liquid or ≤2 semi-formed with small blood 5
≥6 liquid, gross blood, or nocturnal diarrhea 15
General well-being
Well (no limitation of activities) 0
Below par (occasional difficulty in maintaining age-appropriate activities) 5
Very poor (frequent limitation of activity) 15
Weight
Based on previous measurement at least 4-6 months earlier
Weight gain, weight voluntarily stable, or voluntary weight loss 0
Weight involuntarily stable or weight loss 1–9% 5
Weight loss ≥10% 15
Height at diagnosis (or at follow-up)
<1 channel decrease (or height velocity ≥ -1SD) 0
Channel decrease ≥1 and <2 (or height velocity <-1SD and >-2SD) 5
≥2 channel decrease (or height velocity ≤-2SD) 15
Abdomen
No tenderness, no mass 0
Tenderness, or mass without tenderness 5
Tenderness, involuntary guarding, or definite mass 15
Peri-rectal disease
None or asymptomatic tags 0
1–2 indolent fistulae, scant drainage, and no tenderness 5
Active fistula, drainage, tenderness, or abscess 15
Extra-intestinal manifestations
Fever ≥38.5ºC (101.3ºF) for 3 days over past week, arthritis, uveitis, erythema nodosum, or pyoderma gangrenosum
None 0
1 5
≥2 15
Sex
Male 2.5
Female 2.5
Age
Y
Hematocrit
%
ESR
m
Albumin
g
Result:

Background

Result Interpretation

Ranges Ranges