News and commentary
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: firstname.lastname@example.org
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.
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
- 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.