Steven-Johnson Syndrome/ Toxic Epidermal Necrolysis Overlap Complications

Author:

Ifamela Novita1ORCID,Modi Abdul Hadi2ORCID

Affiliation:

1. Department of Emergency, RSUD Ngudi Waluyo Wlingi, Blitar, Indonesia

2. Department of Medical Aesthetic and Regenertive Medicine, Faculty of Medicine and Health Sciences, School of Healthy Aging, Medical Aesthetic and Regenerative Medicine, UCSI University, Kuala Lumpur, Malaysia

Abstract

ABSTRACT Steven–Johnson syndrome (SJS)/toxic epidermal necrolysis (TEN) overlap is a life-threatening disorder which can lead to mortality because of systemic complications. Here, we present a case of a 22-year-old female referred to the hospital with generalized epidermal detachment and necrolysis covering approximately 25% body surface area, and unstable vital signs were found. Laboratory examination results showed acute renal failure (ARF), anemia, and hypoalbuminemia. Comprehensive treatment of skin and systemic conditions must be carried out to avoid mortality and improve the outcome. This case highlights a case of SJS overlap TEN with shock, ARF, anemia, and hypoalbuminemia safely treated by a conservative treatment strategy.

Publisher

Medknow

Reference14 articles.

1. Morbidity and mortality of Stevens-Johnson syndrome and toxic epidermal necrolysis in United States adults;Hsu;J Invest Dermatol,2016

2. Risk factors for Stevens Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) in Dr. Soetomo general hospital Surabaya;Wijanto;Int J Res Publ,2022

3. The profiles of Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN) patients in tertiary hospital;Isaac;Periodical of Dermatology and Venereology,2021

4. Steven Johnson syndrome in a 102-year-old woman in Saudi Arabia: A case report;Alnofaiey;Cureus,2022

5. Fatal pediatric Stevens-Johnson syndrome/toxic epidermal necrolysis: Three case reports;Shi;Medicine (Baltimore),2020

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