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. 2024 Sep 15;25(6):891–908. doi: 10.1007/s40257-024-00889-6

Table 4.

Long-term complications of SJS/TEN [18, 53, 133, 134, 160163].

General
 Fatigue
 Malaise
 Sleep problems
 Chronic pain
Psychiatric
 Depression
 Anxiety
 Post-traumatic stress disorder
 Dysthymia
Cutaneous
 Dyspigmentation
 Pruritus
 Photosensitivity
 Abnormal sweating
 Eruptive nevi
 Cutaneous scars
 Postinflammatory skin changes
 Nail loss
 Hair loss
Ocular
 Dry eyes
 Symblepharon
 Eyelid dysfunction
 Chronic ocular surface inflammation
 Opacification
 Conjunctivalization
 Keratinization
 Neovascularization
 Punctal damage and tear duct scarring
 Pain
 Photophobia
 Visual impairment (i.e., loss of acuity)
Oral mucous membrane
 Dryness
 Dental caries
 Abnormal root development
 Hypoplasia of permanent teeth
 Ulceration and synechiae
 Mucosal scarring
 Permanent loss of tongue papillae/dysgeusia
 Dysosmia
Otorhinolaryngologic
 Hypopharyngeal stenosis and impaired swallowing
 Pharyngeal-bronchial fistula formation and recurrent aspiration
 Dysphonia
 Otalgia
 Tinnitus
 External auditory canal stenosis
 Nasal septal synechiae
Pulmonary
 Dyspnea
 Cough
 Wheezing
 Obstructive lung disease (i.e., bronchiolitis obliterans, bronchiectasis, chronic obliterative bronchitis)
Gastrointestinal
 Esophageal stricture or webs
 Dysphagia
 Intestinal ulcers
 Malabsorption (secondary to duodenal villi destruction)
 Diarrhea
Gynecologic/Genitourinary
 Vulvar pain/dyspareunia
 Vulvar and vaginal adenosis or stenosis
 Labial fusion
 Hematocolpos and hydrocolpos (secondary to complete vaginal fusion)
 Subfertility or infertility (secondary to menstrual abnormalities)
 Urethral erosions and strictures
 Balanitis
 Phimosis

Of note, studies have reported that hepatic and renal complications are thought to be the result of drug hepatotoxicity and nephrotoxicity rather than a direct result of SJS/TEN disease state, so these were excluded from our table