Risk factors for the development of Stevens–Johnson syndrome/toxic epidermal necrolysis following drug administration: a systematic review and meta-analysis

Author:

Fathima Samaah1,Grainge Matthew J2,Wainman Hannah34ORCID,Swiderski Mikolaj5,Gran Sonia5

Affiliation:

1. School of Medicine, University of Nottingham , Nottingham , UK

2. Lifespan and Population Health, School of Medicine, University of Nottingham , UK

3. Dermatology Department, Bristol Royal Infirmary , Bristol , UK

4. Bristol Medical School, University of Bristol , Bristol , UK

5. Centre of Evidence Based Dermatology, School of Medicine, University of Nottingham , Nottingham , UK

Abstract

The aim of this systematic review was to determine risk factors for the development of Stevens–Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) following drug administration. The study protocol was registered on PROSPERO. The PRISMA guidelines were followed. On 17 October 2022, a search, advised by a librarian, was conducted in MEDLINE and Embase. Five studies were pooled. We report that HIV and male gender may be risk factors for SJS/TEN; however, this review was limited by a low number and quality of included studies. We conclude that a well-designed, large population-based case–control study with an appropriate control group is required to assess risk factors for the development of drug-induced SJS/TEN.

Publisher

Oxford University Press (OUP)

Reference21 articles.

1. Clinical classification of cases of toxic epidermal necrolysis, Stevens–Johnson syndrome, and erythema multiforme;Bastuji-Garin,1993

2. Medication use and the risk of Stevens–Johnson syndrome or toxic epidermal necrolysis;Roujeau;N Engl J Med,1995

3. Incidence of Stevens–Johnson syndrome and toxic epidermal necrolysis: a nationwide population-based study using national health insurance database in Korea;Yang;PLOS ONE,2016

4. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.;Page;BMJ (Clinical research ed.),2021

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