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Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis, Pediatric

Brianna Castillo, MD and James R. Treat, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are severe, potentially fatal, mucocutaneous reactions, typically caused by medications. Clinically, they are char...

DIAGNOSIS

HISTORY

  • Prodromal period for 1 to 7 days of low-grade fever, sore throat or upper respiratory infection or dysphagia, and general malaise; patient may also complain of pain or stinging in the...

TREATMENT

MEDICATION

First Line

  • Stop all potentially offending medications.

  • Early admission to burn unit or pediatric intensive care unit for initial stabilization and management of fluid, electrolytes, ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Follow-up with a dermatologist and/or wound care specialist in addition to ophthalmologist

  • Reepithelialization often starts within days and may take up to 3 weeks ...

ADDITIONAL READING

  • Bastuji-Garin S, Rzany B, Stern RS, et al. Clinical classification of cases of toxic epidermal necrolysis, Stevens-Johnson syndrome, and erythema multiforme. Arch Dermatol.  19...

CODES

ICD9

  • 695.13 Stevens-Johnson syndrome

  • 695.14 Stevens-Johnson syndrome-toxic epidermal necrolysis overlap syndrome

  • 695.15 Toxic epidermal necrolysis

ICD10

  • L51.1 Stevens-Johnson syndrome

  • L51.3 Stevens-Jo...

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