Stevens-Johnson Syndrome (SJS)

Dermatology

Overview

Definition

Severe, life-threatening mucocutaneous hypersensitivity reaction.

Epidemiology

Varies globally depending on genetics, environment, or exposure.

Etiology & Risk Factors

  • Medications (Allopurinol, Anticonvulsants, Sulfonamides).

Clinical Symptoms

  • Fever
  • painful coalescing targetoid lesions
  • mucosal ulceration (lips/eyes)
  • <10% body surface area detachment.

Clinical Approach

Diagnosis

  • Clinical
  • Skin biopsy.

Management

  • Immediate cessation of offending drug
  • Burn unit care
  • IVIG.

Complications

  • Blindness
  • massive sepsis
  • death.