Humanities
Skip to main content Skip to main navigation menu Skip to site footer
  • Register
  • Login
  • Menu
  • Home
  • Current
  • Archives
  • Announcements
  • About
    • About the Journal
    • Submissions
    • Editorial Team
    • Privacy Statement
    • Contact
  • Register
  • Login

Journal of Education, Health and Sport

Stevens–Johnson Syndrome and Toxic Epidermal Necrolysis, A Review of Pathogenesis, Clinical Features, Diagnosis and Treatment
  • Home
  • /
  • Stevens–Johnson Syndrome and Toxic Epidermal Necrolysis, A Review of Pathogenesis, Clinical Features, Diagnosis and Treatment
  1. Home /
  2. Archives /
  3. Vol. 12 No. 9 (2022) /
  4. Review Articles

Stevens–Johnson Syndrome and Toxic Epidermal Necrolysis, A Review of Pathogenesis, Clinical Features, Diagnosis and Treatment

Authors

  • Martyna Rozenbajgier 5 Wojskowy Szpital Kliniczny z Polikliniką SPZOZ w Krakowie https://orcid.org/0000-0001-5165-9719
  • Justyna Wójcik-Grudzień Mazowiecki Szpital Specjalistyczny Sp. z o. o. w Radomiu https://orcid.org/0000-0001-7163-6784
  • Paulina Pawłowska Wojewódzki Szpital Specjalistyczny im. Stefana Kardynała Wyszyńskiego Samodzielny Publiczny Zakład Opieki Zdrowotnej w Lublinie https://orcid.org/0000-0002-5516-952X
  • Alicja Ozga-Stachurska Wojewódzki Szpital Specjalistyczny im. Stefana Kardynała Wyszyńskiego Samodzielny Publiczny Zakład Opieki Zdrowotnej w Lublinie https://orcid.org/0000-0003-1291-905X

DOI:

https://doi.org/10.12775/JEHS.2022.12.09.060

Keywords

Stevens-Johnson Syndrome, Toxic Epidermal Necrolysis, cutaneous adverse drug reactions

Abstract

Stevens Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are rare, acute conditions, potentially life-threatening, immune-mediated and often unpredictable.

Characteristic for SJS and TEN is acute necrosis of the epidermis and mucous membranes, caused by the extensive death of keratinocytes. These syndromes are considered hypersensitivity reactions. They are most often caused by drugs. There have also been reports of SJS / TEN being caused by infection,

SJS/TEN disease is very rare and due to its rarity there is no specific pharmaceutical algorythm. Supportive care and treatment of symptoms are very important. The most crucial part of non-pharmacologic treatment of SJS/TEN is the detection and cessation of the pharmaceutical that caused the disease.

The aim of this literature review was to summarize current knowledge about the pathogenesis, clinical features, diagnosis and treatment of Stevens- Johnson Syndrom and Toxic Epidermal Necrolysis.

Standard criteria were used to review the literature data. The search of articles in the PubMed and Google Scholar database was carried out using the following keywords: Stevens-Johnson Syndrome, Toxic Epidermal Necrolysis, cutaneous adverse drug reactions

References

Roujeau JC, Kelly JP, Naldi L, Rzany B et al. Medication use and the risk of Stevens-Johnson syndrome or toxic epidermal necrolysis. N Engl J Med

Roujeau JC, Guillaume JC, Fabre JP, Penso D et al. Toxic epidermal necrolysis (Lyell syndrome). Incidence and drug etiology in France, 1981-1985. Arch Dermatol 1990; 126:37–42.

Rzany B, Mockenhaupt M, Stocker U, Hamouda O, Schopf E. Incidence of Stevens-Johnson syndrome and toxic epidermal necrolysis in patients with the acquired immunodeficiency syndrome in Germany. Arch Dermatol 1993;129:1059.

Ueta M., Sotozono C ., Tokunaga K., et al.: Strong association between HLA-A*0206 and Stevens-Johnson syndrome in the Japanese. Am. J. Ophthalmol., 2007; 143 (2): 367–368

Lee HY, Chung WH. Toksyczna nekroliza naskórka: przegląd roku. Curr Opin Allergy Clin Immunol. 2013; 13(4):330-6.

Ludlam G.B., Bridges J.B.: Association of Stevens-Johnson syndrome with antibody for Mycoplasma pneumoniae. Lancet, 1964; 1 (7340): 958–959

Duong TA, Valeyrie-Allanore L., Wolkenstein P., Chosidow O. Ciężkie skórne reakcje niepożądane na leki. Lancet. 2017; 390 : 1996-2011. doi: 10.1016/S0140-6736(16)30378-6.

Patterson R., Miller M., Kaplan M., et al.: Effectiveness of early therapy with corticosteroids in Stevens-Johnson syndrome: experience with 41 cases and a hypothesis regarding pathogenesis. Ann. Allergy, 1994; 73 (1): 27–34

Frantz R, Huang S, Are A, Motaparthi K. Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis: A Review of Diagnosis and Management. Medicina (Kaunas). 2021 Aug 28;57(9):895. doi: 10.3390/medicina57090895. PMID: 34577817; PMCID: PMC8472007.

Abe R. Odpowiedź immunologiczna w zespole Stevensa-Johnsona i toksycznej martwicy naskórka. J. Dermatol. 2015; 42 :42–48. doi: 10.1111/1346-8138.12674.

Su S.-C., Mockenhaupt M., Wolkenstein P., Dunant A., le Gouvello S., Chen C.-B., Chosidow O., Valeyrie-Allanore L., Bellon T., Sekula P. i in. Interleukina-15 jest powiązana z ciężkością i śmiertelnością w zespole Stevensa-Johnsona/toksycznej nekrolizie naskórka. J. Dochodzenie. Dermatol. 2017; 137 :1065-1073. doi: 10.1016/j.jid.2016.11.034.

W. Hussain, N. M Craven, Burnley General Hospital, Toxic epidermal necrolysis and Stevens-Johnson syndrome, CME Dermatology, Clin Med 2005;5:555–8

A. Wong, A. Augusto Malvestiti, M. de Figueiredo Silva Hafner; Síndrome de Stevens-Johnson e necrólise epidérmica tóxica: revisão

https://doi.org/10.1590/1806-9282.62.05.468

Shanbhag S., Chodosh J., Fathy C., Goverman J., Mitchell C., Saeed HN Opieka multidyscyplinarna w zespole Stevensa-Johnsona.Tam.Przysł.Przew.2020;11 doi: 10.1177/2040622319894469.

Coias J.L., Abbas L.F., Cardones A.R. Management of Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis: A Review and Update. Curr. Dermatol. Rep. 2019;8:219–233. doi: 10.1007/s13671-019-00275-0.

Schneider J.A., Cohen P.R. Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis: A Concise Review with a Compre-hensive Summary of Therapeutic Interventions Emphasizing Supportive Measures. Adv. Ther. 2017;34:1235–1244. doi: 10.1007/s12325-017-0530-y.

Coias J.L., Abbas L.F., Cardones A.R. Management of Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis: A Review and Update. Curr. Dermatol. Rep. 2019;8:219–233. doi: 10.1007/s13671-019-00275-0.

Coias J.L., Abbas L.F., Cardones A.R. Management of Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis: A Review and Update. Curr. Dermatol. Rep. 2019;8:219–233. doi: 10.1007/s13671-019-00275-0.

Palmieri T.L., Greenhalgh D.G., Saffle J.R., Spence R.J., Peck M.D., Jeng J.C., Mozingo D.W., Yowler C.J., Sheridan R.L., Ahrenholz D.H., et al. A multicenter review of toxic epidermal necroly-sis treated in U.S. burn centers at the end of the twentieth century. J. Burn Care Rehabil. 2002;23:87–96. doi: 10.1097/00004630-200203000-00004.

McCullough M., Burg M., Lin E., Peng D., Garner W. Steven Johnson Syndrome and Toxic Epidermal Necrolysis in a burn unit: A 15-year experience. Burn. 2017;43:200–205. doi: 10.1016/j.burns.2016.07.026.

Dorafshar A.H., Dickie S.R., Cohn A.B., Aycock J.K., O’Connor A., Tung A., Gottlieb L. Antishear therapy for Toxic Epidermal Necrolysis: An alternative treatment approach. Plast. Reconstr. Surg. 2008;122:154–160. doi: 10.1097/PRS.0b013e3181773d5d.

Zhang S., Tang S., Li S., Pan Y., Ding Y. Biologic TNF-alpha inhibitors in the treatment of Stevens-Johnson syndrome and Toxic Epidermal Necrolysis: A systemic review. J. Dermatol. Treat. 2020;31:66–73. doi: 10.1080/09546634.2019.1577548.

Wang C.-W., Yang L.-Y., Chen C.-B., Ho H.-C., Hung S.-I., Yang C.-H., Chang C.-J., Su S.-C., Hui R.C.-Y., Chin S.-W., et al. Randomized, controlled trial of TNF-α antagonist in CTL-mediated severe cutaneous adverse reactions. J. Clin. Investig. 2018;128:985–996. doi: 10.1172/JCI93349.

Zimmermann S., Sekula P., Venhoff M., Motschall E., Knaus J., Schumacher M., Mockenhaupt M. Systemic Immunomodulating Therapies for Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis: A Systematic Review and Meta-analysis. JAMA Dermatol. 2017;153:514–522. doi: 10.1001/jamadermatol.2016.5668.

Sekula P., Dunant A., Mockenhaupt M., Naldi L., Bavinck J.N.B., Halevy S., Kardaun S., Sidoroff A., Liss Y., Schumacher M., et al. Comprehensive Survival Analysis of a Cohort of Patients with Stevens–Johnson Syndrome and Toxic Epidermal Necrolysis. J. Investig. Dermatol. 2013;133:1197–1204. doi: 10.1038/jid.2012.510.

reamer D., Walsh S.A., Dziewulski P., Exton L.S., Lee H.Y., Dart J.K.G., Setterfield J., Bunker C.B., Ardern-Jones M.R., Watson K.M.T., et al. UK guidelines for the management of Ste-vens-Johnson syndrome/Toxic Epidermal Necrolysis in adults 2016. J. Plast. Reconstr. Aesthetic Surg. 2016;69:e119–e153. doi: 10.1016/j.bjps.2016.01.034.

Tsai T.Y., Huang I.H., Chao Y.C., Li H., Hsieh T.S., Wang H.H., Huang Y.T., Chen C.Y., Cheng Y.C., Kuo P.H., et al. Treating Toxic Epidermal Necrolysis with systemic immunomodulating therapies: A systematic review and network meta-analysis. J. Am. Acad. Dermatol. 2021;84:390–397. doi: 10.1016/j.jaad.2020.08.122.

Zimmermann S., Sekula P., Venhoff M., Motschall E., Knaus J., Schumacher M., Mockenhaupt M. Systemic Immunomodulating Therapies for Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis: A Systematic Review and Meta-analysis. JAMA Dermatol. 2017;153:514–522. doi: 10.1001/jamadermatol.2016.5668.

Gilbert M., Scherrer L.A. Efficacy and safety of cyclosporine in Stevens-Johnson syndrome and Toxic Epidermal Necrolysis. Dermatol. Ther. 2019;32:e12758. doi: 10.1111/dth.12758.

Chen Y.-T., Hsu C.-Y., Chien Y.-N., Lee W.-R., Huang Y.-C. Efficacy of cyclosporine for the treatment of Stevens-Johnson syndrome and Toxic Epidermal Necrolysis: Systemic review and meta-analysis. Dermatol. Sin. 2017;35:131–137. doi: 10.1016/j.dsi.2017.04.004.

Downloads

  • PDF

Published

2022-09-07

How to Cite

1.
ROZENBAJGIER, Martyna, WÓJCIK-GRUDZIEŃ, Justyna, PAWŁOWSKA, Paulina and OZGA-STACHURSKA, Alicja. Stevens–Johnson Syndrome and Toxic Epidermal Necrolysis, A Review of Pathogenesis, Clinical Features, Diagnosis and Treatment. Journal of Education, Health and Sport. Online. 7 September 2022. Vol. 12, no. 9, pp. 512-518. [Accessed 28 June 2025]. DOI 10.12775/JEHS.2022.12.09.060.
  • ISO 690
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
Download Citation
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

Issue

Vol. 12 No. 9 (2022)

Section

Review Articles

License

Copyright (c) 2022 Martyna Rozenbajgier, Justyna Wójcik-Grudzień, Paulina Pawłowska, Alicja Ozga-Stachurska

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

Stats

Number of views and downloads: 599
Number of citations: 0

Search

Search

Browse

  • Browse Author Index
  • Issue archive

User

User

Current Issue

  • Atom logo
  • RSS2 logo
  • RSS1 logo

Information

  • For Readers
  • For Authors
  • For Librarians

Newsletter

Subscribe Unsubscribe

Tags

Search using one of provided tags:

Stevens-Johnson Syndrome, Toxic Epidermal Necrolysis, cutaneous adverse drug reactions
Up

Akademicka Platforma Czasopism

Najlepsze czasopisma naukowe i akademickie w jednym miejscu

apcz.umk.pl

Partners

  • Akademia Ignatianum w Krakowie
  • Akademickie Towarzystwo Andragogiczne
  • Fundacja Copernicus na rzecz Rozwoju Badań Naukowych
  • Instytut Historii im. Tadeusza Manteuffla Polskiej Akademii Nauk
  • Instytut Kultur Śródziemnomorskich i Orientalnych PAN
  • Instytut Tomistyczny
  • Karmelitański Instytut Duchowości w Krakowie
  • Ministerstwo Kultury i Dziedzictwa Narodowego
  • Państwowa Akademia Nauk Stosowanych w Krośnie
  • Państwowa Akademia Nauk Stosowanych we Włocławku
  • Państwowa Wyższa Szkoła Zawodowa im. Stanisława Pigonia w Krośnie
  • Polska Fundacja Przemysłu Kosmicznego
  • Polskie Towarzystwo Ekonomiczne
  • Polskie Towarzystwo Ludoznawcze
  • Towarzystwo Miłośników Torunia
  • Towarzystwo Naukowe w Toruniu
  • Uniwersytet im. Adama Mickiewicza w Poznaniu
  • Uniwersytet Komisji Edukacji Narodowej w Krakowie
  • Uniwersytet Mikołaja Kopernika
  • Uniwersytet w Białymstoku
  • Uniwersytet Warszawski
  • Wojewódzka Biblioteka Publiczna - Książnica Kopernikańska
  • Wyższe Seminarium Duchowne w Pelplinie / Wydawnictwo Diecezjalne „Bernardinum" w Pelplinie

© 2021- Nicolaus Copernicus University Accessibility statement Shop