Using SCORAD

  • SCORAD = SCORing Atopic Dermatitis, cinical tool for assessing the severity of atopic dermatitis as objectively as possible


Criteria

  • A) Extent criteria - determine the approximate percentage of body surface covered by eczema, using the rule of 9s (e.g. 50% involvement of right lower limb = 9% of body surface area)
    rule9_lg.jpg
  • B) Intensity criteria - score the features below on a scale of 0-3. Choose a lesion that is representative of most of the patient's eczema (not the worst or the best-looking lesion). Score xerosis on an area of skin without eczema/inflammation.
    • Scale
      • 0 - None
      • 1 - Mild
      • 2 - Moderate
      • 3 - Severe
    • Features
      • Erythema
      • Edema/papulation
      • Oozing/crusting
      • Excoriation (scratch marks)
      • Xerosis (dryness)
      • Lichenification (thickening)

  • C) Subjective symptoms - score the features below on a visual analogue scale of 0-10 (0 - none, 10 - worst imaginable)
    • Pruritus
    • Insomnia (sleep disturbance)

  • Final score = A/5 + 7B/2 + C
    • 0 - Lowest possible score, 103 - Highest possible score
    • Interpretation
      • <25 - Mild AD
      • 25–50 - Moderate AD
      • >50 - Severe AD



SCORAD Calculators