Which of the following scoring systems is specifically used to predict mortality in patients with Toxic Epidermal Necrolysis (TEN)?

• A SCORAD index
• B ABCD-10 score
• C Naranjo algorithm
• D SCORTEN score ✓

Explanation

SCORTEN (SCORe of Toxic Epidermal Necrolysis) is the validated mortality prediction tool for TEN. It uses 7 parameters scored at admission: age >40, malignancy, tachycardia >120/min, initial BSA detachment >10%, serum urea >10 mmol/L, serum glucose >14 mmol/L, and bicarbonate <20 mmol/L. Each parameter scores 1 point; a SCORTEN of 5+ carries ~90% mortality. SCORAD is used for atopic dermatitis severity. The Naranjo algorithm assesses drug causality probability, not mortality.

Reference: Neena Khanna Illustrated Synopsis of Dermatology & STD, 6th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.