Description

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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