What scoring system is used in pediatric atopic dermatitis (AD)?

Updated: Apr 26, 2021
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
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Answer

Several tools have been developed to assess the severity of atopic dermatitis. No one is considered the criterion standard, but some validated tools are listed below [22, 23, 24] :

  • Eczema Area and Severity Index (EASI) - Based solely on objective clinician assessment; primarily used in clinical trials
  • SCORing Atopic Dermatitis (SCORAD) - Combines objective clinician assessment and subjective patient assessment; primarily used in clinical trials
  • Patient-Oriented Eczema Measure (POEM): Based solely on subjective patient assessment; may be more convenient in clinical practice
  • Patient-Oriented SCORing Atopic Dermatitis (PO-SCORAD): Based solely on subjective patient assessment; may be more convenient in clinical practice

Some advocate the use of a scoring system. The SCORAD (Index) is the best-validated scoring system in atopic dermatitis. [25, 26] The extent of disease is measured by "the rule of nines," applied on a front/back drawing of the patient's inflammatory lesions. They are graded from 0-100 on 6 items, including erythema, edema/papulation, excoriations, lichenification, oozing/crusts, and dryness, with each item evaluated on a scale from 0-3.


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