Management of toxic epidermal necrolysis and related syndromes

被引:26
作者
Mukasa, Y. [1 ]
Craven, N. [1 ]
机构
[1] Macclesfield Hosp, Dept Dermatol, Macclesfield, Cheshire, England
关键词
D O I
10.1136/pgmj.2007.061465
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Toxic epidermal necrolysis and Stevens-Johnson syndrome are rare and life-threatening diseases that often configure as medical emergencies. The majority of cases are drug reactions. The clinical picture is one of widespread epidermal necrosis and mucosal erosions. Treatment is largely supportive and must be provided in an appropriate environment. The role of steroids and other potential disease-modifying therapies has yet to be fully established by controlled studies. The significant mortality associated with these conditions dictates that an understanding of these conditions is essential for all doctors.
引用
收藏
页码:60 / 65
页数:6
相关论文
共 41 条
[21]   MACROPHAGES AND TUMOR-NECROSIS-FACTOR-ALPHA IN TOXIC EPIDERMAL NECROLYSIS [J].
PAQUET, P ;
NIKKELS, A ;
ARRESE, JE ;
VANDERKELEN, A ;
PIERARD, GE .
ARCHIVES OF DERMATOLOGY, 1994, 130 (05) :605-608
[22]   Apoptosis as a mechanism of keratinocyte death in toxic epidermal necrolysis [J].
Paul, C ;
Wolkenstein, P ;
Adle, H ;
Wechsler, J ;
Garchon, HJ ;
Revuz, J ;
Roujeau, JC .
BRITISH JOURNAL OF DERMATOLOGY, 1996, 134 (04) :710-714
[23]   Treatment of toxic epidermal necrolysis with high-dose intravenous immunoglobulins - Multicenter retrospective analysis of 48 consecutive cases [J].
Prins, C ;
Kerdel, FA ;
Padilla, RS ;
Hunziker, T ;
Chimenti, S ;
Viard, I ;
Mauri, DN ;
Flynn, K ;
Trent, J ;
Margolis, DJ ;
Saurat, JH ;
French, LE .
ARCHIVES OF DERMATOLOGY, 2003, 139 (01) :26-32
[24]  
RAMUSSEN JC, 1976, BRIT J DERMATOL, V95, P181
[25]   Drug-induced hypersensitivity syndrome and toxic epidermal necrolysis. Treatment with N-acetylcysteine [J].
Redondo, P ;
deFelipe, I ;
deLaPena, A ;
Aramendia, JM ;
Vanaclocha, V .
BRITISH JOURNAL OF DERMATOLOGY, 1997, 136 (04) :645-646
[26]   TOXIC EPIDERMAL NECROLYSIS - CLINICAL FINDINGS AND PROGNOSIS FACTORS IN 87 PATIENTS [J].
REVUZ, J ;
PENSO, D ;
ROUJEAU, JC ;
GUILLAUME, JC ;
PAYNE, CR ;
WECHSLER, J ;
TOURAINE, R .
ARCHIVES OF DERMATOLOGY, 1987, 123 (09) :1160-1165
[27]   TREATMENT OF TOXIC EPIDERMAL NECROLYSIS - CRETEIL EXPERIENCE [J].
REVUZ, J ;
ROUJEAU, JC ;
GUILLAUME, JC ;
PENSO, D ;
TOURAINE, R .
ARCHIVES OF DERMATOLOGY, 1987, 123 (09) :1156-1158
[28]  
Rhodes LE, 1999, ACTA DERM-VENEREOL, V79, P288
[29]   TOXIC EPIDERMAL NECROLYSIS (LYELL SYNDROME) - INCIDENCE AND DRUG ETIOLOGY IN FRANCE, 1981-1985 [J].
ROUJEAU, JC ;
GUILLAUME, JC ;
FABRE, JP ;
PENSO, D ;
FLECHET, ML ;
GIRRE, JP .
ARCHIVES OF DERMATOLOGY, 1990, 126 (01) :37-42
[30]   GENETIC SUSCEPTIBILITY TO TOXIC EPIDERMAL NECROLYSIS [J].
ROUJEAU, JC ;
HUYNH, TN ;
BRACQ, C ;
GUILLAUME, JC ;
REVUZ, J ;
TOURAINE, R .
ARCHIVES OF DERMATOLOGY, 1987, 123 (09) :1171-1173