Arab Board Dermatology Clinical Practice Questions - Arab Board Dermatology And Venereology Final Clinical And Oral Exam (ABHS) Exam

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A 58-year-old man presents with painful cutaneous detachment involving 22% of his total body surface area (TBSA) following initiation of allopurinol for gout 3 weeks ago. Vital signs show heart rate 108 bpm, blood pressure 110/70 mmHg, and temperature 38.6 °C. Serum chemistry demonstrates urea of 12 mmol/L (normal < 7.1 mmol/L) and serum glucose of 15 mmol/L (normal < 10 mmol/L). In calculating his SCORTEN upon admission, what is his predicted mortality risk category score?

SCORTEN of 1 (mortality approximately 3%) SCORTEN of 3 (mortality approximately 35%) SCORTEN of 5 (mortality approximately 90%) SCORTEN of 6 (mortality > 95%)

Correct Answer:

SCORTEN of 5 (mortality approximately 90%)

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