Topical Treatment for Stevens - Johnson Syndrome and Toxic Epidermal Necrolysis: A Review

Schandra Purnamawati , Sri Awalia Febriana, Retno Danarti, Tatan Saefuddin

Schandra Purnamawati
1) Departement of Dermatology and-Venereology, Faculty of Medicine Gadjah Mada University, Dr. Sardjito General Hospital Yogyakarta, Indonesia 2) Departement of Dermatology and-Venereology, Faculty of Medicine Jenderal Soedirman University, Purwokerto Indonesia. Email: [email protected]

Sri Awalia Febriana
Departement of Dermatology and-Venereology, Faculty of Medicine Gadjah Mada University, Dr. Sardjito General Hospital Yogyakarta, Indonesia

Retno Danarti
Departement of Dermatology and-Venereology, Faculty of Medicine Gadjah Mada University, Dr. Sardjito General Hospital Yogyakarta, Indonesia

Tatan Saefuddin
Health Polytechnic Jakarta
Online First: August 09, 2016 | Cite this Article
Purnamawati, S., Febriana, S., Danarti, R., Saefuddin, T. 2016. Topical Treatment for Stevens - Johnson Syndrome and Toxic Epidermal Necrolysis: A Review. Bali Medical Journal 5(1): 82-90. DOI:10.15562/bmj.v5i1.274

Background: Stevens - Johnson syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are currently regarded to be same disease entity which differs only in the extent and severity of epidermal sloughing. Both are potentially life-threatening mucocutaneous immunologic reaction, which are most frequently induced by drug consumption. The epithelial destruction of skin and mucosal membrane can cause both acute as well as chronic/ long term outcomes in term of  late sequelae during the course of the disease. Sequelae often occur during the late phase of SJS/TEN and become a significant problem due its chronicity and severe degree of impairment, which leads to deterioration of quality of life for the patients. This may prevented or decreased in terms of intensity if the patient’s received prompt and sufficient topical therapy, particularly in managing lesions on the mucosa of the eye, oral, and genital. Objective : This review underlines topical therapies which could be delivered for management of mucocutaneous lesions from SJS/ TEN, aimed to prevent late sequelae due to SJS – TEN in order to improve the life quality of SJS – TEN survivors. Conclusion: SJS/ TEN frequently lead to late sequeale which includes skin, ocular, oral, and genital involvement. These sequelaes are often severe and chonic. Thus, may cause significant decrease in quality of life of SJS/TEN survivors. It is therefore most important to detect them early in order to manage them adequately. To date, we still have an impression that the specific sequelae of SJS – TEN are often late diagnosed and insufficiently treated. Finally, we want to emphasize that for mucosal involvement in particular, such as ocular, genital and oral involvement, a careful topical treatment have to be taken into special consideration in order to prevent severe late sequelae. 


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