We present a new integrated tool, DERMA, which allows to measure and assess the time evolution of chronic wounds. A laser triangulation 3D scanner is used to acquire the wound geometry with high precision and to capture an RGB image aligned to the geometry. DERMA provides a single and uniform interface to: manage patient data, 3D scanning of the lesion region, and to perform different kinds of measurements and comparisons: geometric (on the 3D model) and colorimetric (on the image). All acquired data (3D geometries and images) as well as the measures calculated are stored in a database for monitoring the evolution of the skin lesion over time. The tool, developed in collaboration with dermatologists, is now under field evaluation in two dermatological clinics monitoring the evolution of wounds due to different types of skin diseases.