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Dermatology assessment

SCORAD (Scoring Atopic Dermatitis)

Record the extent of eczema, score six intensity signs from 0–3, and capture pruritus and sleep loss (0–10). The calculator returns the SCORAD index (0–103).

Enter the percent of area involved for this region (rule of nines).

Enter the percent of area involved for this region (rule of nines).

Enter the percent of area involved for this region (rule of nines).

Enter the percent of area involved for this region (rule of nines).

Enter the percent of area involved for this region (rule of nines).

Erythema0–3
0
Edema / papulation0–3
0
Oozing / crusting0–3
0
Excoriations0–3
0
Lichenification0–3
0
Dryness (pityriasis)0–3
0
Pruritus (itch) last 3 days0 none – 10 worst imaginable
Current value: 5
Sleep loss from eczema0 none – 10 no sleep
Current value: 5

Extent (A)

0%

Score contribution: A/5 = 0.0

Intensity (B)

0

Score contribution: 7 × B / 2 = 0.0

Total SCORAD

10

Subjective symptoms (C): 10

Mild atopic dermatitis

How to Use This Calculator

1

Estimate extent using rule of nines

Assign percent involvement for each body region. Sum automatically caps at 100%.

2

Score six intensity signs 0–3

Use the most severe site for each feature within the past 3 days.

3

Add patient-reported symptoms

Record average pruritus and sleep loss scores from the prior 3 nights on a 0–10 visual analog scale.

Formula

SCORAD = A/5 + 7 × B / 2 + C

  • A = extent of eczema as % body surface area (0–100).
  • B = sum of six intensity items (each 0–3, total 0–18).
  • C = pruritus score (0–10) + sleep loss score (0–10), total 0–20.
  • Maximum SCORAD = 103.

Full Description

SCORAD is a validated tool for grading atopic dermatitis severity in clinical practice and research. It incorporates objective findings (extent and morphology) with patient symptoms. Scores correlate with quality of life measures and treatment response.

Educate patients on consistent self-reporting of itch and sleep loss. Repeat SCORAD at follow-up visits to monitor therapeutic impact and adjust regimens (topical steroids, calcineurin inhibitors, systemic biologics) accordingly.

Frequently Asked Questions

What is considered mild vs severe eczema?

SCORAD <25: mild; 25–49: moderate; ≥50: severe. Use alongside patient history and impact on daily activities.

Can SCORAD be used in infants?

Yes, but adjust body region estimates for age-related surface area. The rule of nines is less accurate in infants; caregiver diagrams can help.

How does SCORAD compare with EASI?

SCORAD includes subjective symptoms whereas EASI focuses purely on extent and intensity. Many trials report both indices.

Should oozing and crusting be scored if absent?

Yes—assign 0 when absent. Score each criterion based on the worst affected area in the last 3 days.