Table 4.
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