Toxic Epidermal Necrolysis (TEN)

Dermatology

Overview

Definition

Most severe form of SJS.

Epidemiology

Varies globally depending on genetics, environment, or exposure.

Etiology & Risk Factors

  • Medications.

Clinical Symptoms

  • Diffuse epidermal sloughing/necrosis
  • positive Nikolsky sign
  • >30% body surface area detachment.

Clinical Approach

Diagnosis

  • Clinical
  • Skin biopsy.

Management

  • Burn unit intensive care
  • aggressive fluid resuscitation
  • IVIG.

Complications

  • High mortality rate from sepsis and fluid loss.