Scorten

Author: Prof. Dr. med. Peter Altmeyer

Co-Autor: Dr. med. Pavel Grünwald

All authors of this article

Last updated on: 29.10.2020

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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 prognostic factors.

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

Outgoing links (1)

Toxic epidermal necrolysis;

Authors

Last updated on: 29.10.2020