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A validated 7-factor severity scoring system for Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) that predicts in-hospital mortality. SCORTEN is the standard severity scoring tool for these rare but life-threatening mucocutaneous reactions. Higher SCORTEN correlates directly with mortality risk.
Age > 40 Years
Malignancy (Active Cancer)
Initial Body Surface Area Involved > 10%
Heart Rate > 120 bpm
Serum Bicarbonate < 20 mmol/L
Blood Glucose > 14 mmol/L (> 252 mg/dL)
Serum Urea (BUN) > 10 mmol/L (BUN > 28 mg/dL)
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