The Simple Cholestatic Complaints Score (SCCS) can be used to evaluate a patient with primary sclerosing cholangitis (PSC). It was originally described in 1999.
Patient selection: primary sclerosing cholangitis
Parameters:
(1) pruritus
(2) fatigue
(3) right upper quadrant abdominal pain
(4) fever
Parameter
Finding
Points
pruritus
no
0
sometimes
1
daily
2
wakes me up OR need antipruritic drugs
3
unbearable
4
fatigue
no
0
unable to complete everything
1
have to rest
2
in bed > 50% of day
3
in bed all day
4
RUQ abdominal pain
no
0
sometimes
1
daily
2
wakes me up OR need pain killers to control
3
unbearable
4
fever
no
0
yes
1
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 13
• The higher the score the more severe the complaints.
• It can be used to monitor patients on treatment.
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