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The electronic Sartorius Score, is based on a classification system developed by Sartorius et al. as a means to evaluate the severity of Hidradenitis Suppurativa (HS), also known as acne inversa. Initially proposed in 2003, the score was subsequently simplified for practical clinical use in 2009. Similar to the Hurley Score, the Sartorius Score provides guidance for treatment strategies. Unlike the Hurley Score, however, the Sartorius Score is designed to dynamically measure the clinical severity of HS and this enables the assessment of disease progression over time.

Validation of questionnaire

paper version: no digital version: no

The Sartorius Score should only be used by healthcare professionals. Based on the following information, points are assigned for each body region:

the anatomical regions affected, such as the axilla, groin, gluteal area (left/right), or other regions, with 3 points assigned per region;
the number and kind of lesions, with nodules worth 1 point and fistulas worth 6 points;
the longest distance between two relevant lesions (or size of lesion if single), with 1 point for < 5 cm, 3 points for 5-10 cm, and 9 points for > 10 cm;
the separation of all lesions by normal skin, with 0 points for "yes" and 9 points for "no" (indicating Hurley III).

The scores for each region are added up to determine the patient's total score, with the upper limit of the scale left unspecified.

The Sartorius Score offers greater dynamism compared to Hurley Score, allowing it to capture changes in severity between two appointments. Nevertheless, some have raised concerns about the limited applicability of the Sartorius Score in severe cases, were individual lesions merge together. Despite its dynamic nature in comparison to the Hurley score, the Sartorius Score still incorporates aspects such as scars and the distance between relevant lesions, which may not adequately reflect the response to medical treatment. Another point of criticism of the Sartorious Scores is that it relies solely on objective factors assessed during the physical examination of the patient.

Daoud, Mathieu; Suppa, Mariano; Benhadou, Farida; Daxhelet, Mathilde; Njimi, Hassane; White, Jonathan et al. (2023): Overview and comparison of the clinical scores in hidradenitis suppurativa: A real-life clinical data. In: Frontiers in medicine 10, S. 1145152. DOI: 10.3389/fmed.2023.1145152 .

Sartorius, K.; Emtestam, L.; Jemec, G. B. E.; Lapins, J. (2009): Objective scoring of hidradenitis suppurativa reflecting the role of tobacco smoking and obesity. In: The British journal of dermatology 161 (4), S. 831–839. DOI: 10.1111/j.1365-2133.2009.09198.x .

Zouboulis, C. C.; Desai, N.; Emtestam, L.; Hunger, R. E.; Ioannides, D.; Juhász, I. et al. (2015): European S1 guideline for the treatment of hidradenitis suppurativa/acne inversa. In: Journal of the European Academy of Dermatology and Venereology : JEADV 29 (4), S. 619–644. DOI: 10.1111/jdv.12966 .

Zouboulis, Christos C.;, G. Bechara, Falk;, Klaus Fritz, Hjalmar Kurzen, Aikaterini I. Liakou1, Wolfgang C. Marsch5, Annett Milling6, Alexander Nast7, Maurizio Podda8, Klaus M. Taube5, Volker Wienert9, Thomas Winkler10 (2012): S1 - Leitlinie zur Therapie der Hidradenitis suppurativa / Acne inversa.

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Recommendations and limitations for measuring the Sartorious Score in Hidradenitis Suppurativa

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