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Pathogenesis and Management of Atopic Dermatitis

Editor(s): Shiohara T. (Tokyo) 
Table of Contents
Vol. 41, 2011
Section title: Paper
Shiohara T (ed): Pathogenesis and Management of Atopic Dermatitis. Curr Probl Dermatol. Basel, Karger, 2011, vol 41, pp 149–155
(DOI:10.1159/000323308)

Practical Issues on Interpretation of Scoring Atopic Dermatitis: SCORAD Index, Objective SCORAD, Patient-Oriented SCORAD and Three-Item Severity Score

Oranje A.P.
Department of Paediatrics, Paediatric Dermatology, Erasmus Medical Centre, Rotterdam, The Netherlands

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Article / Publication Details

First-Page Preview
Abstract of Paper

Published online: 5/12/2011
Cover Date: 2011

Number of Print Pages: 7
Number of Figures: 1
Number of Tables: 2

ISBN: 978-3-8055-9686-2 (Print)
eISBN: 978-3-8055-9687-9 (Online)

Abstract

The SCORAD (Index) is the best validated scoring system in atopic dermatitis (AD). Modification of the SCORAD Index has led several times to incorrect use of the system. To measure the extent of AD, the rule of nines is applied on a front/back drawing of the patient’s inflammatory lesions. The extent can be graded from 0 to 100. The intensity part of the SCORAD consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness. Each item can be graded on a scale from 0 to 3. The subjective items include daily pruritus and sleeplessness. The SCORAD Index formula is: A/5 + 7B/2 + C. In this formula A is defined as the extent (0–100), B is defined as the intensity (0–18) and C is defined as the subjective symptoms (0–20). The maximal score of the SCORAD Index is 103. The objective SCORAD consist of the extent and the intensity items; the formula is A/5 + 7B/2. The maximal objective SCORAD score is 83 (with 10 additional points for severe disfiguring eczema of the face and hands). Patients should also evaluate their dermatitis, because their well-being is the most important aspect of treating AD. Therefore different selfassessment scores for AD patients, including the patient-oriented SCORAD, were developed. The patient-oriented SCORAD correlates well with the SCORAD Index. The Three-Item Severity (TIS) score involves the scoring of erythema (redness), oedema and excoriations (scratches) in one representative lesion. The TIS score corresponds well with the objective SCORAD and can be used as prescreening system or as a quick system in studies and is excellent for epidemiological studies.

© 2011 S. Karger AG, Basel


  

Author Contacts

Prof. Arnold P. Oranje, Department of Paediatrics, Paediatric Dermatology Unit, Erasmus Medical Centre Rotterdam, Postbus 2040, NL-3000 CA Rotterdam, Dr. Molewaterplein 60, NL-3015 GD Rotterdam (The Netherlands), Tel.+31 10 703 6653, Fax +31 10 202 1274, E-Mail arnold.p.oranje@inter.nl.net

  

Article Information

Published online: May 12, 2011
Number of Print Pages : 7

  

Publication Details

Book Serie: Current Problems in Dermatology, Vol. 41, Year 2011

Editor(s): Itin, P. (Basel); Jemec, G. (Roskilde)
ISSN: 1421-5721 (Print), eISSN: 1662-2944 (Online)

For additional information:
http://content.karger.com/ProdukteDB/produkte.asp?issn=1421-5721

Book Title: Pathogenesis and Management of Atopic Dermatitis

Editor(s): Shiohara T (ed)

For additional information:
http://content.karger.com/ProdukteDB/produkte.asp?issn=1421-5721&volume=41


Article / Publication Details

First-Page Preview
Abstract of Paper

Published online: 5/12/2011
Cover Date: 2011

Number of Print Pages: 7
Number of Figures: 1
Number of Tables: 2

ISBN: 978-3-8055-9686-2 (Print)
eISBN: 978-3-8055-9687-9 (Online)


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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