Erythema Multiforme and Stevens-Johnson Syndrome (SJS, Erythema Multiforme Major) in Children — Symptoms and Treatment
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چکیده
Stevens-Johnson syndrome is an immune-complex mediated hypersensitivity reaction that can be triggered by infectious etiologies or the use of anticonvulsants, antibiotics or any other drug. The condition is characterized by epidermal necrolysis, separation of the epidermis from the dermis, and the formation of skin blisters and bullae over the face, lips, throat and upper or lower extremities. Patients usually have severe electrolyte disturbances due to excessive fluid loss. Management is largely supportive.
منابع مشابه
Erythema Multiforme and Stevens-Johnson Syndrome (SJS, Erythema Multiforme Major) in Children — Symptoms and Treatment
Stevens-Johnson syndrome is an immune-complex mediated hypersensitivity reaction that can be triggered by infectious etiologies or the use of anticonvulsants, antibiotics or any other drug. The condition is characterized by epidermal necrolysis, separation of the epidermis from the dermis, and the formation of skin blisters and bullae over the face, lips, throat and upper or lower extremities. ...
متن کاملDiagnosis, classification, and management of erythema multiforme and Stevens-Johnson syndrome.
BACKGROUND In adults, erythema multiforme (EM) is thought to be mainly related to herpes infection and Stevens-Johnson syndrome (SJS) to drug reactions. AIMS To investigate this hypothesis in children, and to review our experience in the management of these patients. METHODS A retrospective analysis of 77 paediatric cases of EM or SJS admitted to the Children's Hospital in Bordeaux between ...
متن کاملTreatment of Severe Drug Reactions 1. Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis
SJS and TEN are variants of the same process, presenting as severe mucosal erosions with widespread erythematous, cutaneous macules or atypical targets. The cutaneous lesions often become confluent and show a positive Nikolsky sign and epidermal detachment. In SJS, epidermal detachment involves less than 10% of the total body skin area; transitional SJS-TEN is defined by an epidermal detachment...
متن کاملTreatment of Severe Drug Reactions 1. Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis
SJS and TEN are variants of the same process, presenting as severe mucosal erosions with widespread erythematous, cutaneous macules or atypical targets. The cutaneous lesions often become confluent and show a positive Nikolsky sign and epidermal detachment. In SJS, epidermal detachment involves less than 10% of the total body skin area; transitional SJS-TEN is defined by an epidermal detachment...
متن کاملUse of steroids for erythema multiforme in children.
QUESTION I recently diagnosed an erythema multiforme rash in several patients, two of whom had the major variant, Stevens-Johnson syndrome. Should these patients be managed with corticosteroids? ANSWER In most cases, mild erythema multiforme is self-limited and resolves in 2 to 4 weeks. Stevens-Johnson syndrome is a serious disease that involves the mucous membranes and lasts up to 6 weeks. T...
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تاریخ انتشار 2017