Table 1 :
All patients N=32 | Epidermal necrolysis spectrum N=11 | Lichenoid/unclassified dermatoses N=21 | p-value | |
---|---|---|---|---|
| ||||
Female sex, n (%) | 15 (47) | 5 (45) | 10 (48) | 1 |
| ||||
Median age (range), years | 60 (21–85) | 63 (57–72) | 59 (21–85) | 0.53 |
| ||||
Type of cancer | Lung n=13 Melanoma n=11 Liver n=4 Kidney n=1 Thyroid n=1 Thymus n=1 Unknown n=1 |
Lung n=5 Melanoma n=2 Liver n=1 Kidney n=1 Thymus n=1 Unknown n=1 |
Lung n=8 Melanoma n=9 Liver n=3 Thyroid n=1 |
0.72 0.25 |
| ||||
Median time to onset (range), days | 52 (3–420) | 34 (5–90) | 53 (3–420) | 0.06 |
| ||||
Fever, n (%) | 19 (59) | 9 (82) | 10 (48) | 0.13 |
| ||||
Maculopapular exanthema, n (%) | 25 (78) | 9 (82) | 16 (76) | 1 |
| ||||
Lichenoid lesions, n (%) | 14 (44) | 4 (36) | 10 (48) | 0.71 |
| ||||
Purpuric macules, n (%) | 21 (66) | 10 (91) | 11 (52) | 0.05 |
| ||||
Blisters, n (%) | 27 (84) | 11 (100) | 16 (76) | 0.14 |
| ||||
Nikolsky and or detachment > 5 cm, n (%) | 21 (66) | 9 (82) | 12 (57) | 0.25 |
| ||||
Initial detached-detachable BSA, % (range) | 5 (0–45) | 10 (0–35) | 2 (0–45) | 0.25 |
| ||||
Maximal detached-detachable BSA, % (range) | 18 (1–100) | 35 (2–100) | 8 (1–74) | 0.01 |
| ||||
Mucous membrane involvement, n (%) | ||||
Oral | 29 (91) | 10 (91) | 19 (90) | 1 |
Laryngeal | 8 (25) | 3 (27) | 5 (24) | 1 |
Genital-anal | 9 (28) | 2 (18) | 7 (33) | 0.44 |
Ocular | 15 (47) | 8 (73) | 7 (33) | 0.06 |
| ||||
Median baseline SCORTEN (ext) | 3 (1–5) | 3 (2–5) | 3 (1–5) | 0.29 |
| ||||
Median lenght of hospitalization (range), days | 14 (0–121) | 17 (3–121) | 14 (0–45) | 0.59 |
| ||||
Treatment, n | ||||
Supportive care only | 3 (9) | 2 (18) | 1 (5) | 0.54 |
Topical steroids | 16 (50) | 1 (9) | 15 (71) | 0.002 |
Systemic steroids | 26 (81) | 8 (73) | 18 (86) | 0.39 |
And/or others (IgIV, G-CSF, ciclo, MMF, phototherapy palms/soles | 10 (31) | 5 (45) | 5 (24) | 0.25 |
| ||||
Median duration of steroids (range), days | 30 (3–120) | 30 (25–60) | 25 (3–120) | 0.29 |
| ||||
Healed at 6 weeks, n (% among alive patients) | 18 (56) | 5 (71) | 13 (62) | 0.46 |
| ||||
Death at 6 weeks, n (%) | 8 (25) | 4 (36) | 4 (19) | 0.40 |
| ||||
Death at last news, n (%) | 20 (62) | 9 (82) | 11 (52) | 0.14 |