Cyclosporine for SJS/TEN: A Case Series and Review of the Literature

Clear guidelines for the treatment of Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are lacking due to its infrequency and the absence of large controlled studies. Systemic corticosteroids and intravenous immunoglobulin (IVIG) have received considerable attention, though report...

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Veröffentlicht in:Cutis (New York, N.Y.) N.Y.), 2011, Vol.87 (1), p.24-29
Hauptverfasser: REESE, Drew, HENNING, J. Scott, ROCKERS, Kyle, LADD, Denise, GILSON, Robert
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container_title Cutis (New York, N.Y.)
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creator REESE, Drew
HENNING, J. Scott
ROCKERS, Kyle
LADD, Denise
GILSON, Robert
description Clear guidelines for the treatment of Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are lacking due to its infrequency and the absence of large controlled studies. Systemic corticosteroids and intravenous immunoglobulin (IVIG) have received considerable attention, though reports of the use of these agents have demonstrated mixed success rates in improving morbidity and mortality from SJS/TEN. We present a case series of 4 patients with SJS/TEN who rapidly responded to treatment with cyclosporin A (CsA). We discuss the proposed mechanism of action and the rationale for the use of cyclosporin based on the currently understood pathophysiologic mechanism of TEN.
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subjects Acetaminophen - adverse effects
Adult
Analgesics, Non-Narcotic - adverse effects
Anti-Infective Agents - adverse effects
Anticonvulsants - adverse effects
Biological and medical sciences
Cyclosporine - therapeutic use
Dermatologic Agents - therapeutic use
Dermatology
Drug Combinations
Female
Humans
Male
Medical sciences
Stevens-Johnson Syndrome - chemically induced
Stevens-Johnson Syndrome - drug therapy
Sulfamethizole - adverse effects
Triazines - adverse effects
Trimethoprim - adverse effects
title Cyclosporine for SJS/TEN: A Case Series and Review of the Literature
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