SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). Dermatologists may use this tool before and after treatment to determine whether the treatment has been effective.
To determine extent, the sites affected by eczema are shaded on a drawing of a body. The rule of 9 is used to calculate the affected area (A) as a percentage of the whole body.
- Head and neck 9%
- Upper limbs 9% each
- Lower limbs 18% each
- Anterior trunk 18%
- Back 18%
- 1% each for genitals, each palm and the back of each hand.
The score for each area is added up. The total area is 'A', which has a possible maximum of 100%.
A representative area of eczema is selected. In this area, the intensity of each of the following signs is assessed as none (0), mild (1), moderate (2) or severe (3).
- Oozing / crusting
- Scratch marks
- Skin thickening (lichenification)
- Dryness (this is assessed in an area where there is no inflammation)
The intensity scores are added together to give 'B' (maximum 18).
Redness: 1; Swelling: 0; Oozing: 0; Scratching: 0; Lichenification: 1.
Redness: 2; Swelling: 1; Oozing: 1; Scratching: 1; Lichenification: 1.
Redness: 1; Swelling: 1; Oozing: 1; Scratching: 3; Lichenification: 3.
Subjective symptoms i.e., itch and sleeplessness, are each scored by the patient or relative using a visual analogue scale where 0 is no itch (or no sleeplessness) and 10 is the worst imaginable itch (or sleeplessness). These scores are added to give 'C' (maximum 20).
The SCORAD for that individual is A/5 + 7B/2 + C
- SCORAD – Universite de Nantes AD Information Server
On DermNet NZ:
- Eczema Area & Severity Index
- Atopic dermatitis
- What causes atopic dermatitis
- Treatment of atopic dermatitis
- Complications of atopic dermatitis
- More images of atopic dermatitis
- Dermatitis online course for health professionals
Books about skin diseases:
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