SCORTEN Scale
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The SCORTEN scale (SCORe of Toxic Epidermal Necrosis) is a severity-of-illness scale with which the severity of certain
bullous A skin condition, also known as cutaneous condition, is any medical condition that affects the integumentary system—the organ system that encloses the body and includes skin, nails, and related muscle and glands. The major function of this sys ...
conditions can be systematically determined. It was originally developed for
toxic epidermal necrolysis Toxic epidermal necrolysis (TEN), also known as Lyell's syndrome, is a type of severe skin reaction. Together with Stevens–Johnson syndrome (SJS) it forms a spectrum of disease, with TEN being more severe. Early symptoms include fever and f ...
, but can be used with burn victims, sufferers of
Stevens–Johnson syndrome Stevens–Johnson syndrome (SJS) is a type of severe skin reaction. Together with toxic epidermal necrolysis (TEN) and #Classification, Stevens–Johnson/toxic epidermal necrolysis (SJS/TEN) overlap, they are considered febrile mucocutaneous d ...
, cutaneous drug reactions, or exfoliative wounds. These conditions have in common that they compromise the integrity of the skin and/or mucous membranes. In the SCORTEN Scale 7 independent risk factors for high mortality are systematically scored, so as to determine the
mortality rate Mortality rate, or death rate, is a measure of the number of deaths (in general, or due to a specific cause) in a particular Statistical population, population, scaled to the size of that population, per unit of time. Mortality rate is typically ...
for that particular patient. The more risk factors present, the higher the SCORTEN score, and the higher the mortality rate, as shown in the following table.


See also

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Stevens–Johnson syndrome Stevens–Johnson syndrome (SJS) is a type of severe skin reaction. Together with toxic epidermal necrolysis (TEN) and #Classification, Stevens–Johnson/toxic epidermal necrolysis (SJS/TEN) overlap, they are considered febrile mucocutaneous d ...


References

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External links


SCORTEN online calculator
Dermatologic terminology