<scp>S</scp>tevens–<scp>J</scp>ohnson syndrome: Old and new opportunities for prevention

Marco, Nelfio Di; Schaink, Jessica M; Cranswick, Noel; Sawyer, Susan Μ

doi:10.1111/jpc.12883

Cited by 2 publications

(1 citation statement)

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“…After cure, the scars would be formed on the skin due to mucosal damage and inflammation. [ 13 ] The oral and systemic skin in the process of the disease can be characterized by serious mucosal lesions and can cause severe pain at every treatment and nursing, which impacts both physiologically and psychologically. SJS has been considered a late-onset allergic reaction and can cause serious long-term sequelae and high mortality rate.…”

Section: Discussionmentioning

confidence: 99%

Nursing care of a boy seriously infected with Steven–Johnson syndrome after treatment with azithromycin

Zhu²,

Yu³

et al. 2018

Medicine

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Rationale:Stevens–Johnson syndrome (SJS) is an acute blistering disease of the skin and mucous membranes. SJS in children is not common but potentially serious disease. But the epidemiology of SJS in China is not well defined.Patient concerns:A 6-year-old boy was initially diagnosed as pneumonia admitted to hospital after admission, and the body appears red rash with blisters, skin damage, lip debaucjed, repeated high fever, and rapid progression.Diagnoses:SJS often results from an allergy reaction response to a range of drugs. It is a clinical diagnosis suggested by fever and malaise followed by an extensive painful, nonblanching, macular rash that commonly progresses to blistering or sloughing, and mucositis.Interventions:The boy was treated with continuous renal replacement therapy, anti-infection therapy, high-dose glucocorticoid treatment, and symptomatic treatment.Outcomes:The patient was recovered after 33 days of treatment.Lessons:The current treatment is mainly symptomatic treatment, and for the patient, it is important to make skin care related well, included early out blisters at effusion, reducing skin ulceration of the mucosa area, keeping skin clean, removing mucosa secretion and blood clots, doing eye care related, preventing the complications, ensuring adequate intake of nutrition and warm and so on.

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Section: Discussionmentioning

confidence: 99%