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.
Specialty: Gastroenterology