Evaluating the severity of atopic dermatitis (eczema) objectively.
Monitoring disease progression and treatment response over time.
Standardized reporting in clinical trials for atopic dermatitis therapies.
Section 2
Formula & Logic
Formula
SCORAD = (A/5) + (7B/2) + C
Variables
A: Extent of disease as percentage of Body Surface Area (BSA) affected (0-100).
B: Intensity of 6 specific morphologic lesions (erythema, edema/papulation, oozing/crusts, excoriations, lichenification, and dryness/xerosis) graded 0-3. Max 18.
C: Subjective symptoms (pruritus and sleep loss) over the last 3 days, graded 0-10 on VAS. Max 20.
Section 3
Pearls/Pitfalls
Clinical Pearls
Dryness (xerosis) is evaluated ONLY on uninvolved skin areas.
It combines both objective physician assessment and subjective patient-reported outcomes, making it very comprehensive.
A score > 50 indicates severe atopic dermatitis.
Section 4
Next Steps
Interpretation
< 25: Mild disease.
25 - 50: Moderate disease.
> 50: Severe disease. Consider escalation to systemic immunosuppression or biologics.
