News and commentary
2019 March
Volume : 7 Issue : 1

Medical quiz: 30-years-old male developed lesions -Images

Anand Kumar Vaggu

Pdf Page Numbers :- 23-24

Anand Kumar Vaggu*


*Corresponding author: Dr. Anand Kumar Vaggu, Department of Dermatology, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India. Email:


Citation: Vaggu AK. Medical quiz: 30-years-old male developed lesions -Images. J Med Sci Res. 2019; 7(1):23-24.


Abstract is not available for this article.

Full Text

What is this condition?

What is the sign to be elicited?

What is the severity of illness score and describe?

Figure a,b,c,d: 30-year-old male consulted orthopaedician for joint pains and he was given allopurinol. Patient developed these lesions within 2 days of medication.




Answer for the medical quiz – 30-years-old male developed lesions


Answer for question 1: Toxic epidermal necrolysis


Answer for question 2: Nikolsky's sign


Answer for question 3: The SCORTEN score (a severity-of-illness score for toxic epidermal necrolysis) calculates the risk for death in both SJS and TEN based on the following variables:

  • Age >40 years
  • Malignancy
  • Heart rate >120
  • Initial percentage of epidermal detachment >10%
  • Blood urea nitrogen (BUN) level >10 mmol/L
  • Serum glucose level >14 mmol/L
  • Bicarbonate level < 20 mmol/L


Each variable is assigned a value of 1 point. Mortality rates are as follows:

  • 0-1 points, ≥ 3.2%
  • 2 points, ≥12.1%
  • 3 points, ≥35.3%
  • 4 points, ≥58.3%
  • 5 or more points, ≥90%




References are not available for this article.