Letter in Reply: Important Points in Toxic Epidermal Necrolysis Management

Classically, toxic epidermal necrolysis (TEN) is considered as part of a group of cutaneous hypersensitivity reaction with a spectrum of severity, erythema multiforme (EM) followed by Stevens-Johnson syndrome (SJS), and TEN. Data and photos in our hospital computer system for the first 10 days after...

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Bibliographic Details
Main Author: Lutfi Al-Kathiri
Format: Article
Language:English
Published: Oman Medical Specialty Board 2019-07-01
Series:Oman Medical Journal
Subjects:
Online Access:http://omjournal.org/articleDetails.aspx?coType=1&aId=2485
Description
Summary:Classically, toxic epidermal necrolysis (TEN) is considered as part of a group of cutaneous hypersensitivity reaction with a spectrum of severity, erythema multiforme (EM) followed by Stevens-Johnson syndrome (SJS), and TEN. Data and photos in our hospital computer system for the first 10 days after admission, showed a typical spectrum of this disease, as in the beginning, the patient was having EM (skin involvement with target lesions) which progressed to SJS (skin with mucous membranes involvement), and finally TEN (widespread epidermal sloughing). No other differential diagnosis were considered (our team diagnosed the case as TEN, based on clinical presentation and we started the treatment immediately, however, biopsy was done and the result came later confirming the diagnosis).
ISSN:1999-768X
2070-5204