Kantor reported the Scar Cosmesis Assessment and Rating (SCAR) scale to evaluate a patient with a scar. The authors is from the University of Pennsylvania and Florida Center for Dermatology.
Patient selection: dermal scar
Parameters:
(1) scar spread
(2) erythema
(3) dyspigmentation (hyper or hypo-pigmentation)
(4) track or suture marks
(5) hypertrophy or atrophy
(6) overall impression (appearance)
(7) bothersome itch in past 24 hours
(8) pain in past 24 hours
|
Parameter |
Findings |
Points |
|
scar spread |
none, nearly invisible |
0 |
|
|
pencil-thin |
1 |
|
|
mild spread |
2 |
|
|
moderate spread, obvious scar) |
3 |
|
|
severe spread |
4 |
|
erythema |
None |
0 |
|
|
light pink with or without telangiectasia |
1 |
|
|
red with many telangiectasia |
2 |
|
|
deep red or purple |
3 |
|
dyspigmentation |
Absent |
0 |
|
|
Present |
1 |
|
track or suture marks |
No |
0 |
|
|
yes |
1 |
|
hypertrophy or atrophy |
none |
0 |
|
|
mild |
1 |
|
|
moderate (clearly visible) |
2 |
|
|
marked, including keloid |
3 |
|
overall impression |
desirable |
0 |
|
|
undesirable |
1 |
|
bothersome itch |
No |
0 |
|
|
yes |
1 |
|
pain |
No |
0 |
|
|
yes |
1 |
total score =
= SUM(points for all 8 parameters)
Interpretation:
• minimum score: 0
• maximum score: 15
• The higher the score the more bothersome the scar.
Specialty: Dermatology
