Scorten

Synonym(s)

Severity-of-illness score for toxic epidermal necrolysis

Definition
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Scale for determining a score for the expected mortality rate in patients with TEN(toxic epidermal necrolysis) based on several prognostic and clinical parameters.

General information
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Prognostic factors and scale of points:

Prognostic factors	Points
Age >= 40 years	1
Pulse >= 120/min.	1
Carcinoma (haematological tumours)	1
Affected body part on day 1 >= 10%	1
Serum urea (> 10 mmol/l)	1
Serum bicarbonate (< 20 mmol/l)	1
Serum glucose (> 14 mmol/l	1

SCORTEN point scale	Letality rate [%]
0-1	3,2
2	12,1
3	35,8
4	58,3
> 4	> 90

Prognose
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There are indications that the lethality rates are rather underestimated.

Literature
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Bastuji-Garin S et al (2000) SCORTEN: a severity-of-illness score for toxic epidermal necrolysis. J Invest Dermatol 115: 149-153
Spornraft-Ragaller P et al (2007) Treatment of toxic epidermal necrolysis. Experiences in nine patients considering intravenous immunoglobulins. skin 2: 62- 68