Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN): an update

  • O Mogole Sefako Makgatho Health Sciences University
  • Natalie Schellack Sefako Makgatho Health Sciences University
  • M H Motswaledi Sefako Makgatho Health Sciences University
Keywords: Steven-Johnsons syndrome (SJS), toxic epidermal necrolysis (TEN), granulysin, supportive care, hypersensitivity, immunomodulating

Abstract

Stevens-Johnson syndrome (SJS) is a form of toxic epidermal necrolysis (TEN) a rare but life-threatening hypersensitivity reactions that affect the skin and mucous membranes. The most common triggers are drugs, but they can also be triggered by infections. Granulysin has been recently identified as the major molecule responsible for the widespread keratinocyte necrosis. Early identification and removal of causative agent is crucial in preventing progression of condition and reducing patient mortality. Supportive care is often recommended over immunomodulating treatments as it helps improve patient outcome.

Author Biographies

O Mogole, Sefako Makgatho Health Sciences University
BPharm Department of Pharmacy Faculty of Health Sciences Sefako Makgatho Health Sciences University
Natalie Schellack, Sefako Makgatho Health Sciences University
BCur, BPharm, PhD Senior Lecturer Department of Pharmacy Faculty of Health Sciences Sefako Makgatho Health Sciences University
M H Motswaledi, Sefako Makgatho Health Sciences University
MBChB, MMed(Derm), FCDerm (SA) Department of Dermatology Faculty of Medicine Sefako Makgatho Health Sciences University
Section
Review Articles