SCORing Atopic Dermatitis (SCORAD)

Provides a standardised model for assessing the severity of atopic dermatitis lesions.

Refer to the text below the calculator for more information on the scoring model.


SCORAD is an evaluation system based on assessment of atopic dermatitis, extent and intensity of lesions, as well as effect of subjective symptoms.

It is recommended to perform the SCORAD before and after treatment to determine its effectiveness.


SCORAD consists in 3 sections:

  • Affected area – where percentages are allocated to body parts, to describe eczema severity, up to 100%;
  • Intensity – where severity degree of 6 clinical signs is assessed on scales from 0 to 3, to total up to 18;
  • Subjective symptoms – where severity of prurit and insomnia are rated from 0 to 10, to total up to 20.

SCORAD formula is then computed as:

SCORAD = Affected area / 5 + 7 x Intensity / 2 + Subjective symptoms

Final scores range from 0 to 103.


1Affected Area

Head and neck (up to 9%)
Upper extremities (up to 9% each)
Anterior trunk (up to 18%)
Back (up to 18%)
Lower extremities (up to 18% each)
Genitals (up to 1%)

2Intensity

Redness
Swelling
Oozing
Scratch marks
Skin thickening
Dryness

3Subjective symptoms

Instruction: On a scale from 0 (none) to 10 (maximum severity) please rate the following:

Prurit
NoneMaximum severity
Insomnia
NoneMaximum severity
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Steps on how to print your input & results:

1. Fill in the calculator/tool with your values and/or your answer choices and press Calculate.

2. Then you can click on the Print button to open a PDF in a separate window with the inputs and results. You can further save the PDF or print it.

Please note that once you have closed the PDF you need to click on the Calculate button before you try opening it again, otherwise the input and/or results may not appear in the pdf.


 

About the SCORAD

SCORAD was developed by the European Task Force on Atopic Dermatitis to aid the standardization of clinical evaluation of atopic patients. The SCORAD calculator comprises of three sections which are then integrated in a formula.

The eczema affected area section refers to the extent of body surface area affected:

  • Head and neck (up to 9%);
  • Upper extremities (up to 18% each);
  • Anterior trunk (up to 18%);
  • Back (up to 18%);
  • Lower extremities (up to 18% each);
  • Genitals (up to 1%).

The possible maximum score for this section is 100%.

The intensity section consists in six clinical signs that assess the intensity of the condition:

  • Redness;
  • Swelling;
  • Oozing / Crusting;
  • Scratch marks;
  • Skin thickening (excoriations, lichenification);
  • Dryness (independent of any inflammation present).

Each of the signs above are awarded a number of points, dependent on their perceived severity, on the following scale:

  • None (0);
  • Mild (1);
  • Moderate (2);
  • Severe (3).

The minimum score for the intensity section is 0 and the maximum score is 18.

The subjective symptoms section consists in 2 items:

  • Prurit (itch);
  • Insomnia (sleeplessness).

These two are evaluated (by patient or a relative) based on quality of life in the three days before the evaluation. A visual analogue scale is used, with 0 for no symptoms and 10, most severe symptoms. The minimum score for the subjective symptoms section is 0 and the maximum score is 20.

To compute the SCORAD result, use the following formula:

SCORAD = Affected area score / 5 + 7 x Intensity score / 2 + Subjective symptoms score

SCORAD results range from 0 and 103. The extent of the lesions and subjective symptoms account for around 20% of the total score each, while the intensity items account for the rest of 60%.

 

References

Original reference

European Task Force on Atopic Dermatitis. Severity scoring of atopic dermatitis: the SCORAD index. Consensus Report of the European Task Force on Atopic Dermatitis. Dermatology. 1993;186(1):23-31.

Other references

Oranje AP, Glazenburg EJ, Wolkerstorfer A, Spek FB, De Waard - Van Der. Practical issues on interpretation of scoring atopic dermatitis: the SCORAD index, objective SCORAD and the three-item severity score. British Journal of Dermatology. 2007;Vol.157(4), p.645(4).

Čelakovská J, Bukač J. SCORAD Reflects the Duration of Atopic Dermatitis Lesions. Indian J Dermatol. 2013;58(3): 247.

Kunz B, Oranje AP, Labrèze L, Stalder JF, Ring J, Taïeb A. Clinical validation and guidelines for the SCORAD index: consensus report of the European Task Force on Atopic Dermatitis. Dermatology. 1997;195(1):10-9.


Specialty: Dermatology

Objective: Assessment

Type: Score

No. Of Items: 14

Year Of Study: 1993

Abbreviation: SCORAD

Article By: Denise Nedea

Published On: April 30, 2020

Last Checked: April 30, 2020

Next Review: May 30, 2025