Atopic Eczema — SCE Dermatology MCQ

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EasyInflammatory DermatosesAtopic EczemaSCE Dermatology

A 10-year-old child with atopic eczema has the severity of their eczema assessed. Which validated tool measures eczema extent and severity by combining clinician-assessed signs and patient-reported symptoms?

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Correct answer: A — SCORAD (SCORing Atopic Dermatitis)

SCORAD is a validated composite scoring tool for atopic eczema that combines objective clinical assessment (extent using rule of nines and intensity of 6 signs: erythema, oedema/papulation, excoriation, lichenification, oozing/crusting, dryness) with subjective patient-reported symptoms (itch and sleep loss on visual analogue scales). SCORAD <25 = mild, 25-50 = moderate, >50 = severe. EASI (Eczema Area and Severity Index) is another validated clinician-assessed tool (without subjective component). PASI is for psoriasis. DLQI measures quality of life impact rather than disease severity directly.

Reference: BAD 2020 AD Guidelines; NICE CG57