Synonym(s)
Severity-of-illness score for toxic epidermal necrolysis
DefinitionThis section has been translated automatically.
Scale for determining a score for the expected mortality rate in patients with TEN(Toxic Epidermal Necrolysis) based on prognostic factors.
General informationThis section has been translated automatically.
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 |
PrognoseThis section has been translated automatically.
There are indications that the lethality rates are rather underestimated.
LiteratureThis section has been translated automatically.
- 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
Prof. Dr. med. Peter Altmeyer
Pavel Grünwald