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. 2022 Mar 11;2022(3):CD013130. doi: 10.1002/14651858.CD013130.pub2

Summary of findings 5. Intravenous immunoglobulin (IVIG) compared to corticosteroids.

Summary of findings:
Intravenous immunoglobulin (IVIG) compared to corticosteroids for treatment of Stevens‐Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and SJS/TEN overlap syndrome
Patient or population: Stevens‐Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and SJS/TEN overlap syndrome
Setting: inpatient hospital wards
Intervention: IVIG
Comparison: corticosteroids
Outcomes Anticipated absolute effects* (95% CI) Relative effect
(95% CI) № of participants
(studies) Certainty of the evidence
(GRADE) Comments
Risk with corticosteroids Risk with IVIG
Disease‐specific mortality We found no studies comparing IVIG to corticosteroids.
Time to complete re‐epithelialisation ‐ not reported
Total hospital length of stay ‐ not reported
Adverse effects leading to discontinuation of SJT/TEN therapy ‐ not reported
Intensive care unit (ICU) length of stay ‐ not reported
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).

CI: confidence interval
GRADE Working Group grades of evidenceHigh certainty: We are very confident that the true effect lies close to that of the estimate of the effect.
Moderate certainty: We are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different.
Low certainty: Our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect.
Very low certainty: We have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect.