What is the eSCORAD

The eSCORAD (SCOring Atopic Dermatitis) tool measures 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

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

1) First the extent of the affected area is calculated as a percentage of the entire body.

2) Intensity of symptoms, including redness, swelling, oozing, thickening and dryness, is calculated on a numerical scale, from 0 (none) to 3 (severe).

3) Subjective symptoms are given a numerical score by the patient, from 0 (none) to 10 (severe). The maximum objective SCORAD score is 83 (plus an additional 10 bonus points). Bonus points are given for severe disfiguring eczema (on the face and hands).


Spread criteria

1) Choose if the patient is above or below 8 years of age.
2) Click on the circle of the affected body part.
3) Choose the extent of the affected area as a percentage (from 0 to 100%).

Intensity criteria

Rate the intensity of symptoms, including erythema, edema, oozing, excoriation, lichenification and xerosis from 0 (none) to 3 (severe).
Rate also subjective symptoms: pruritus and insomnia on a scale from 0 to 10.


At the end of the page you can see the Total Score and the results separately for: Spread, Intensity and Subjective symptoms.

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.



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.


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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