Clinical manifestations and outcomes in 17 cases of Stevens–Johnson syndrome and toxic epidermal necrolysis

✍ Scribed by Kenneth C Wong; Peter J Kennedy; Stephen Lee

• Publisher: John Wiley and Sons
• Year: 1999
• Tongue: English
• Weight: 187 KB
• Volume: 40
• Category: Article
• ISSN: 0004-8380
• DOI: 10.1046/j.1440-0960.1999.00342.x

✦ Synopsis

The clinical features and outcomes of 17 patients with Stevens–Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN) were retrospectively reviewed. There were 11 males and six females with an average age of 61.5 years. Ten patients with SJS (seven males, three females) and seven patients with TEN (four males, three females) were identified. Antibiotics, mainly β‐lactams, were the most common cause of SJS/TEN in this series. The mean skin loss in TEN was 45.7% total body surface area in contrast to the lesser skin loss (<10%) observed in three patients with SJS. Complications included septicaemia, pneumonia and multi‐organ failure, mainly in the TEN group. Two patients died from TEN‐related complications and one patient with SJS died from unrelated causes. Ocular involvement and skin pigmentary changes represented the most significant long‐term sequelae.