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- Title
Escala ABCD-10 como predictor de mortalidad en niños con farmacodermias graves. Reporte de caso.
- Authors
Barrios-Díaz, Britza; Macías-Robles, Ana Paola; Campos-Téllez, Héctor Hugo; Cortés-Grimaldo, Rosa María; Carvajal-Alonso, Hilda Lilian; Coronado-Hernández, Kareli Guadalupe; Estrada-García, Carlos David; Ramírez-Nepomuceno, Adriana; Barreto-Alcalá, Marlén; Esparza-Amaya, David
- Abstract
Background: The severe pharmacodermias (SF) are associated with high morbidity and mortality. Chronic kidney failure (CKD) related with dialysis is one of the main factors associated with higher mortality. ABCD-10 is a predictive mortality scale that includes the history of dialysis. Case report: Male 2 years old with a history of CKD on peritoneal dialysis and Lennox-Gastaut syndrome, admitted to the hospital due to acute peritonitis and developed SJS-NET secondary to phenytoin administration. He was treated with immunoglobulin and systemic steroid without improvement. Septic shock was added, presenting a fatal outcome. Conclusions: In the case presented, the ABCD-10 scale was applied, reporting a greater prediction of mortality compared to SCORTEN due to a history of dialysis. In children with SF there are no validated predictive mortality. Future initiatives should search for risk factors for mortality in children who develop SF for the creation of a predictive mortality scale.
- Publication
Revista Alergia de Mexico, 2023, Vol 70, Issue 1, p43
- ISSN
0002-5151
- Publication type
Article
- DOI
10.29262/ram.v70i1.1069