Objective: Determine the association between different parameters of oral health and the self-rated health (SRH) in Colombian community-dwelling older adults. Methods: This is a secondary analysis of the SABE-Colombia study performed in 2015. The dependent variable was defined as the SRH status assessed by the question Compared with other people your age: Do you consider your health status to be: better, equal or worse? The oral health parameters were edentulism, the GOHAI score and the use of dental prosthesis. Three multivariable logistic regression was performed compared better vs. worse, better vs. equal and equal vs. worse health status, adjusted by socio-demographic variables, comorbidities, and geriatric syndromes. Results: After the exclusion of missing data, 18180 persons were included in the final analysis. 10.6, 37.6 and 51.6% persons reported worse, equal and better SRH, respectively. The worse SRH group had a higher proportion of > 80 years old persons, dependence, cognitive impairment, and depressive symptoms. The presence of edentulism and a low score of GOHAI were more frequent in the worse SHR group. After the multivariable logistic regression, all parameters of oral health status were associated with a worse SRH. Conclusion: In our study, the oral health parameters were associated with self-rated health status. This result supports the inclusion of oral health in comprehensive geriatric assessment.

Introducción El síndrome de Stevens Johnson (SJJ) y la necrólisis epidérmica tóxica (NET) son reacciones cutáneas severas, que se caracterizan por el daño de la epidermis y compromiso de mucosas. Los síntomas inician de 4-28 días posterior al inicio del medicamento. En el presente caso, la reacción adversa se presentó posterior a un aumento de dosis de carbamazepina. Si bien esta asociación ha sido poco descrita, es importante que el personal de salud la conozca, pues el retiro oportuno tiene implicaciones pronósticas importantes. Métodos y resultados: Se describe caso de una paciente de 79 años con demencia frontotemporal e insomnio manejada con carbamazepina y con un ajuste de dosis a los 8 días, con lo que presentó SSJ con rápida progresión a NET. Conclusiones: La identificación del agente causal es vital en pacientes con toxicodermias y no se debe descartar como agente etiológico un medicamento previamente tolerado por el paciente.