Stevens - Johnson Syndrome and Toxic Epidermal Necrolysis; Extensive Review of Reports of Drug-Induced Etiologies, and Possible Therapeutic Modalities

Open Access Maced J Med Sci. 2018 Mar 28;6(4):730-738. doi: 10.3889/oamjms.2018.148. eCollection 2018 Apr 15.

Abstract

Stevens - Johnson Syndrome and Toxic Epidermal Necrolysis are adverse hypersensitivity reactions that affect the skin and mucous membranes. They are characterised by erythematous macules and hemorrhagic erosions of the mucous membranes. Epidermal detachments of varying degrees of severity also occur in these conditions. Various aetiologies are associated with these conditions, with adverse drug reaction being the most common. Though the worldwide incidence of these conditions is recorded as low, diverse types of medication are being observed to lead to these conditions. This review compiles information on the details of Stevens-Johnson syndrome and Toxic Epidermal Necrolysis, the pathophysiology, therapeutic management, and largely considers the drug-induced etiologies associated with these conditions.

Keywords: Adverse drug reaction; Drug hypersensitivity; Mucous membranes; Skin; Stevens-Johnson Syndrome; Toxic Epidermal Necrolysis.

Publication types

  • Review