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1.
Indian J Dermatol Venereol Leprol ; 2010 Jan-Feb; 76(1): 69-71
Article in English | IMSEAR | ID: sea-140550
2.
Indian J Dermatol Venereol Leprol ; 2008 May-Jun; 74(3): 238-40
Article in English | IMSEAR | ID: sea-52258

ABSTRACT

BACKGROUND AND AIMS: Stevens Johnson syndrome (SJS), toxic epidermal necrolysis (TEN) and SJS-TEN overlap are serious adverse cutaneous drug reactions. Drugs are often implicated in these reactions. METHODS: A retrospective analysis of inpatients' data with these dermatological diagnoses were carried out for three years, to study the causative drugs, clinical outcome, and mortality in these conditions. RESULTS: Thirty patients (15 TEN, nine SJS-TEN overlap, and six SJS) were admitted. In 21 cases, multiple drugs were implicated whereas single drugs were responsible in nine. Anticonvulsants (35.08%) were the most commonly implicated drugs followed by antibiotics (33.33%) and NSAIDS (24.56%). Twenty-five patients recovered whereas five died (four TEN, one SJS-TEN overlap). CONCLUSION: Anticonvulsants, antibiotics and NSAIDs were the most frequently implicated drugs. TEN causes higher mortality than both SJS and SJS-TEN overlap.


Subject(s)
Adolescent , Adult , Aged , Anti-Bacterial Agents/adverse effects , Anti-Inflammatory Agents, Non-Steroidal/adverse effects , Anticonvulsants/adverse effects , Child , Child, Preschool , Stevens-Johnson Syndrome/etiology , Female , Humans , Male , Middle Aged , Retrospective Studies , Sex Distribution , Stevens-Johnson Syndrome/chemically induced
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