What is the eSCORAD

The eSCORAD (SCORing Atopic Dermatitis) is an international accepted and standardised tool, which was developed to objectively measure the extent and severity of atopic dermatitis. Clinicians can use this tool before, during or after treatment to assess the effectiveness of medical intervention.

How to use the eSCORAD

The eSCORAD utilizes both objective (extent and severity of lesions) and subjective (pruritus and insomnia) criteria. Assessment is conducted via a 3-step approach:

1) First, the extent of the affected area is calculated as a percentage of the entire body. The first criteria accounts for a maximum of 20 points of the overall score.

2) Second, the Intensity of the atopic dermatitis, including redness, swelling, oozing, thickening and dryness, is calculated on a numerical scale, from 0 (none) to 3 (severe). The second criteria accounts for a maximum of 63 points of the overall score.

3) Third, the subjective symptoms, pruritus and insomnia, are given a numerical score by the patient, from 0 (none) to 10 (severe), respectively. The third criteria accounts for a maximum of 20 points of the overall score.

In practice there is a differentiation between the SCORAD and the objective SCORAD (oSCORAD). The oSCORAD is calculated by adding the extent of the affected area and the intensity of the AD. The oSCORAD can range between 0 – 83. In addition to the oSCORAD, the SCORAD includes the subjective symptoms assessed by the patient. Therefore the SCORAD can range between 0 – 103.

Instructions

Criterion A: Extent of eczema

1) Choose if the patient is older or younger than 2 years of age.

2) Click on the circles of the affected body parts.

3) Choose the extent of the affected area as a percentage (from 0 to 100%).

Criteria Intensity (B) and Subjective Symptoms (C)

Criterion B: Intensity

Rate the intensity of symptoms, including erythema, edema, oozing, excoriation, lichenification, and dryness from 0 (none) to 3 (severe).

Criterion C: Subjective Symptoms

Rate also the two subjective symptoms: pruritus and insomnia on a scale from 0 to 10, respectively.

eSCORAD Score

At the end of the page, you can see the total score of the SCORAD and oSCORAD, as well as the separate result for the extent of eczema, the intensity, and subjective symptoms.

Reference values for the SCORAD (objective und subjective):

0 – 24 Points           mild atopic dermatitis

25 – 59 Points         moderate atopic dermatitis

Above 60 Points      severe atopic dermatitis

Reference values for the oSCORAD:

0 – 14 Points           mild atopic dermatitis

15 – 39 Points         moderate atopic dermatitis

Above 40 Points      severe atopic dermatitis

Following you can find the versions of the eSCORAD

Impact of Atopic Dermatitis

Atopic eczema is an inflammatory skin condition characterized by patches of red, cracked, oozy or leathery skin.

The condition is chronic, prone to relapse and often extremely pruritic. While atopic eczema may occur at any age, it is most common in childhood and severity varies throughout the life cycle. The exact cause is unclear but it is known to result from a combination of genetic (hereditary) and environmental factors. Atopic eczema has a severely negative effect on quality of life (QoL), with patients reporting skin damage, soreness, sleep deprivation (due to itching), activity restriction and depression. The lifestyle burden can also not be underestimated with frequent doctor visits, special clothing and the need to constantly apply messy topical ointments adding to the patient distress.

Children with severe cases tend to have a smaller social circle and participate in fewer group activities than their peers. They are also at higher risk for developing depression, anxiety and other mental health disorders.

The burden is carried by parents, who report of a lack of sleep and privacy (often due to co-sleeping), treatment-related financial expenditures, and feelings of hopelessness, guilt, and depression. It is estimated that parents of children with moderate to severe atopic eczema spend up to 3 hours a day caring for their children's skin.

Features

User-friendly

eSCORAD is straight-forward to use with clear diagrams for the classification of atopic dermatitis spread and severity. SCORAD can be used by clinicians from a range of different disciplines.

Holistic

eSCORAD is a holistic measure of both the subjective and objective parameters of atopic dermatitis.

Environmentally Friendly

Put an end to wasting paper and store all your patient data in one online platform. Results can be shared via email.

Rapid assessment

eSCORAD consists of 3 graded sections: Extent of affected area, Intensity of symptoms and Subjective perception. This layout makes eSCORAD quick and easy to complete.

Responsive and multi-device

Your SCORAD is always a couple of touches or clicks away, available on desktop, tablet, phone and other devices.

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