Scoring Criteria | Score modifier if present | Score modifier if absence | Special score considerations | Scoring for our patient |
---|---|---|---|---|
Fever (≥ 38.5 °C) | 0 | − 1 | – | Present (0) |
Lymphadenopathy (> 1 cm in two sites) | 1 | 0 | – | Absent (0) |
Eosinophilia | 1 (If > 700 cells/µL) | 0 | 2 (if > 1500 cells/µL) | Highly present (2) |
Atypical lymphocytosis (on blood film) | 1 | 0 | N/A | Not assessed (0) |
Skin rash (> 50% body surface area) | 1 | 0 | – | Absent (0) |
Skin Biopsy (if applicable) | 1 (if + for DRESS) | − 1 (if negative for DRESS) | – | Not assessed (0) |
Organ involvement | 1 | 0 | If more than one organ involvement + 1 score for a total of 2 | One organ involvement (1) |
Resolution > 15 days | 0 | − 1 | – | Present (0) |
Other causes excluded (3 or more of below negative) Antinuclear antibody Blood culture Serology for viral hepatitis Chlamydia/mycoplasma | 1 | 0 | – | 3 causes ruled out (1) |