Long-term complications of Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS']JS/TEN): the spectrum of chronic problems in patients who survive an episode of SJS']JS/TEN necessitates multidisciplinary follow-up

被引:124
作者
Lee, H. Y. [1 ]
Walsh, S. A. [2 ]
Creamer, D. [2 ]
机构
[1] Singapore Gen Hosp, Dept Dermatol, Singapore, Singapore
[2] Kings Coll Hosp London, Dept Dermatol, London, England
关键词
VANISHING BILE-DUCT; ERUPTIVE MELANOCYTIC NEVI; SEVERE BULLOUS DISEASE; ADVERSE DRUG-REACTIONS; BRONCHIOLITIS OBLITERANS; PULMONARY COMPLICATIONS; OCULAR MANIFESTATIONS; ERYTHEMA MULTIFORME; LYELL SYNDROME; HETEROTOPIC OSSIFICATION;
D O I
10.1111/bjd.15360
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are severe adverse reactions to drugs that cause a life-threatening eruption of mucocutaneous blistering and epithelial sloughing. While the acute complications of SJS/TEN are well described, it is increasingly recognized that survivors may develop delayed sequelae, some of which can be associated with significant morbidity. Studies of long-term SJS/TEN outcomes mostly focus on mucocutaneous and ocular complications. However, other internal organs, such as the respiratory tract and gastrointestinal tract, can be affected. Psychological sequelae are also frequent following the trauma of widespread epidermal necrolysis. An appreciation of the chronic' phase of SJS/TEN is needed by clinicians caring for individuals who have survived the acute illness. This review aims to provide an update on the breadth and range of sequelae that can affect patients in the months and years following an acute episode of SJS/TEN.
引用
收藏
页码:924 / 935
页数:12
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