Table 5. Clinical characteristics in Stevens-Johnson syndrome and toxic epidermal necrolysis according to the causative drugs.
Characteristic | Antibiotics (n=28) | Allopurinol (n=20) | AED (n=17) | NSAIDs (n=15) | Acetaminophen (n=2) | Others (n=10) | |
---|---|---|---|---|---|---|---|
Age (yr) | 60.5±18.8 | 66.5±15.3 | 55.9±22.7 | 55.8±23.0 | 37.5±9.2 | 51.6±23.3 | |
Female sex | 15 (53.6) | 7 (35.0) | 4 (23.5) | 8 (53.3) | 0 (0) | 4 (40.0) | |
Type of SJS/TEN | |||||||
SJS | 16 (57.2) | 16 (80.0) | 15 (88.2) | 7 (46.7) | 1 (50.0) | 8 (80.0) | |
SJS/TEN overlap | 6 (21.4) | 2 (10.0) | 1 (5.9) | 2 (13.3) | 1 (50.0) | 1 (10.0) | |
TEN | 6 (21.4) | 2 (10.0) | 1 (5.9) | 6 (40.0)* | 0 (0) | 1 (10.0) | |
Involved BSA | 24.9±23.6 | 11.3±15.2 | 7.1±9.8* | 47.5±39.5* | 10±7.1 | 20.8±28.0 | |
SCORTEN | 2.1±1.1 | 1.9±1.0 | 1.2±1.0 | 1.9±1.2 | 0.5±1.7 | 1.3±0.8 | |
Latent period (day) | 13.1±9.4 | 21.6±10.4 | 16.4±9.3 | 14.9±7.7 | 5±1.4 | 18.5±11.2 | |
Route of administration | |||||||
Oral | 11 (39.2) | 20 (100) | 17 (100) | 11 (73.3) | 2 (100) | 8 (80.0) | |
IV or SC | 17 (60.8) | 0 (0) | 0 (0) | 4 (26.7) | 0 (0) | 1 (10.0) | |
Eyedrop | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 1 (10.0) | |
Treatment options | |||||||
Supportive | 4 (14.3) | 1 (5.0) | 1 (5.9) | 1 (6.7) | 0 (0) | 0 (0) | |
Corticosteroid or IVIG | 18 (64.3) | 16 (80.0) | 15 (88.2) | 13 (86.6) | 2 (100) | 6 (60.0) | |
Corticosteroid and IVIG | 6 (21.4) | 3 (15.0) | 1 (5.9) | 1 (6.7) | 0 (0) | 4 (40.0) | |
Duration of treatment (day) | 17.7±10.5 | 18.2±9.1 | 15.2±9.8 | 20.4±10.7 | 19.5±7.8 | 18.4±10.4 | |
Clinical course | |||||||
Recovery | 23 (82.1) | 17 (75.0) | 17 (100) | 15 (100) | 2 (100) | 10 (100) | |
Death | 5 (17.9) | 3 (15.0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
Values are presented mean ± standard deviation or number (%).
SJS, Stevens-Johnson syndrome; TEN, Toxic epidermal necrolysis; AED, antiepileptic drug; NSAIDs, nonsteroidal anti-inflammatory drugs; BSA, body surface area; SCORTEN, a severity-of-illness score for toxic epidermal necrolysis; IV, intravenous; SC, subcutaneous; IVIG, intravenous immunoglobulin.
*p < 0.05 was considered statistically significant.