SCORAD Index for Atopic Dermatitis

Patient: __________________________ Date: ______________________

A. Analysis of surface involvement1. During the clinical examination, draw the involved areas on the evaluation

sheet2. Then calculate the proportion of involved surface area segment by

segment. 3. Total  the results for all segments

Child before the age of 2

Rule of in older children and adults:

1

Section of Body R L Total Score

Arm Front (4.5)Arm Back (4.5)Leg Front (6)Leg Back (6)Trunk Back (18)Trunk Front (18)Head Back (8.5)Head Front (8.5)GRAND TOTAL

Section of Body R L Total Score

Arm Front (4.5)Arm Back (4.5)Hand Front (1)Hand Back (1)Leg Front (9)Leg Back (9)Genitalia (1)Trunk Back (18)Trunk Front (18)Head Back (4.5)Head Front (4.5)GRAND TOTAL (100 max)

B. Grading of intensity4. Choose the representative area

In patients with localized lesions, analysis will concern the area which was the reason for the visit.In patients with areas varying in severity, a representative area of mean involvement is chosen.Dryness should be evaluated in a remote area of noninflammatory skin.

5. Identify the elementary lesions 1. Erythema (0-3)2. Edema (0-3)3. Oozing/crusting (0-3)4. Excoriation (0-3)5. Lichenification (0-3)6. Dryness (0-

C. Subjective signsThe two most representative items concerning the quality of life of patients (during the 3 previous days) are:

o Pruritus (0-10) visual analogo Insomnia (0-10) visual analog

The patient and/or one of his relatives expresses the intensity of pruritus or insomnia using a visual analog scale graded between 0 and 10.

Pruritus= _______ (0-10)Insomnia=______(0-10)Total C score= ______ (max 20)

Calculate Total Score A = SPREAD (100 max) B = INTENSITY (18 max) C = SUBJECTIVE SYMPTOMS (20 max) SCORAD calculation: A/5 + 7B/2 + C

A. Spread= ______ /5= _______ (Max 20) B. Intensity= 7 X______= _____/2= ________ (Max 63)C. Subjective Symptoms ___________ (Max 20)

TOTAL SCORE: A + B + C= ______________[Max 20 + 63+20=103]

2

Section 0 1 2 3 Score

Erythema Edema/papulationOozing/CrustingExcoriationLichenificationDrynessGRAND TOTAL

Total B score (Max is 18)

Physicians guide for scoringErythemaStage 1

Stage 2

Stage 3

3

Edema / papulation Stage 1

Edema / papulation, stage 2

Edema / papulation, stage 3

4

Oozing / crusting, stage 1

Oozing / crusting, stage 2

Oozing / crusting, stage 3

5

Excoriation, stage 1

Excoriation, stage 2

Excoriation, stage 3

6

Lichenification, stage 1

Lichenification, stage 2

Lichenification, stage 3

7