Table 3.
Naranjo score for drug-induced TEN
| Assessment Criteria | Lamotrigine | Oxcarbazepine & Topiramate |
|---|---|---|
| Temporal Association | Symptoms appeared 9 days after initiation (+ 2) | Long-term use, no recent dose modification (0) |
| Dechallenge Outcome | Symptom improvement after discontinuation (+ 1) | Not discontinued (0) |
| Rechallenge Outcome | Not re-exposed (N/A) | N/A |
| Established Risk Profile | Strongly associated with SJS/TEN (+ 1) | Low risk of rash (+ 0.5) |
| Exclusion of Alternative Causes | Negative infectious/autoimmune workup (+ 1) | Long-term tolerance (+ 0) |
| Total Score | Probable (5 points) | Possible (0.5 points) |