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Stevens Johnson syndrome, toxic epidermal necrolysis and SJS-TEN overlap: A retrospective study of causative drugs and clinical outcome
- Article from:
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Indian Journal of Dermatology, Venereology and Leprology
- Article date:
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May 1, 2008
- Author:
- Sharma, Vinod; Sethuraman, Gomathy; Minz, Anil
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Copyright informationCopyright Medknow Publications May/Jun 2008. Provided by ProQuest LLC. (Hide copyright information)
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Introduction
Cutaneous drug eruptions are one of the most frequent manifestations of adverse drug reactions. [1] Adverse cutaneous drug reactions are found to affect 2-3% of hospitalized patients. [2] The reported percentage of "potentially serious" adverse drug reactions varies greatly and is estimated to be above 2%. [2] Some of the serious reactions include Stevens Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and the overlap category of SJS and TEN. SJS is a serious mucocutaneous illness with systemic symptoms characterized by the presence of flat, atypical target lesions and the epidermal detachment is [3] TEN is a life-threatening serious illness characterized by high ...
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Visionary Biomarkers
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October 1, 2007 ;
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787 words
......of one or two diameters of selected target lesions. Up to a maximum of five lesions per...involved organs, are identified as target lesions. The sum of the longest diameter for all target lesions is calculated. The response to treatment...
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May 1, 2005 ;
Guttman, Cheryl;
763 words
......therapy three times a week and had their target lesions randomized to twice daily treatment...completed the study, and responses of their target lesions were evaluated at four-week intervals...patients experienced improvement in all target lesions (mean improvement: tacrolimus ...
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Hackel, Joshua G. Nicholias, Vincent M. Morgan, J. Garris;
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......pressure and later develop into classic target lesions that no longer blanch. Target lesions are diagnostic and have a central, dark-purp...does not always start with the typical target lesions but may begin with diffuse skin erythema...
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NOVEL OCCLUSIVE patch IMPROVES RESPONSES TO TOPICAL PSORIASIS MEDICATIONS
Dermatology Times;
September 1, 2006 ;
Guttman, Cheryl;
787 words
......new hydrogel jwtch over one of the target lesions twice daily for eight weeks. Patients...study medications twice daily to both target lesions and a new hydrogel patch over one of the target lesions twice daily for eight weeks. Follow-...
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Dermatology Nursing;
October 1, 2006 ;
Ruest, Amber Khachemoune, Amor;
787 words
......symmetrical fixed red papules, some of which evolve into target lesions (see Figure 1). A target lesion consists of concentric zones...precede/occur simultaneously or become evident after the target lesions of EM have appeared. Other infections that are clearly associated...
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ADVENTRX Presents CoFactor Data at the 2008 Annual Meeting of the American...
PR Newswire;
June 3, 2008 ;
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......rules for the measurement of tumor target lesions and involves techniques which measure...indicates the disappearance of all target lesions and a partial response (PR) indicates...the sum of the longest diameter of target lesions. A total of 32 patients were enrolled...
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Use of computer-aided detection in thoracic CT
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Roberts, Heidi C;
787 words
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Mayo Clinic Proceedings;
July 1, 2006 ;
Kumar, Gautam; Fadel, Hind J; Beckman, Thomas J;
787 words
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Clobetasol foam, calcipotriene ointment a superb combination, study shows
Dermatology Times;
September 1, 2004 ;
Guttman, Cheryl;
787 words
......calcipotriene together or either agent alone, twice daily, to target lesions. Patients in the dual treatment group were instructed to...achieved a greater than 50 percent improvement of their target lesions continuing in a 24-week double-blind phase in which they...
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Act fast with possible toxic epidermal necrolysis.(Dermatologic Therapy)
Skin & Allergy News;
October 1, 2007 ;
Walsh, Nancy;
687 words
......overlap syndrome. Erythema multiforme is characterized by target lesions that may blister, with little or no mucosal involvement...10% of body surface area plus mucosal involvement. The SJS-TEN overlap syndrome involves skin loss of 10%-30% of body surface...
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Drug-induced skin conditions exhibit common characteristics
Dermatology Times;
September 1, 1998 ;
Blackmun, Susie;
787 words
......postinfectious and primarily herpes related. It presents as classic target lesions whose distribution is predominantly acral. The condition...greater than 30 percent. Patients are classified as having SJS/TEN overlap when they have widespread purpuric macules and the amount...
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Erythema multiforme.(Disease/Disorder overview)
American Family Physician;
December 1, 2006 ;
Lamoreux, Michele R. Sternbach, Marna R. Hsu, W. Teresa;
787 words
......hypersensitivity reaction to infections or drugs. It consists of a polymorphous eruption of macules, papules, and characteristic target lesions that are symmetrically distributed with a propensity for the distal extremities. There is minimal mucosal involvement. Management...
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Anaphylaxis and hypersensitivity syndrome reactions in increasing severity...
Journal of Postgraduate Medicine;
July 1, 2005 ;
Singbal, S; Rataboli, P;
787 words
......drugs. Erythema multiforme (EM) is an acute, usually self-limiting mucocutaneous disorder characterised by unique iritis or target lesions such as macules, papules, vesicles and bullae. Severe erythema multiforme with predominantly extensive bullous eruption...
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Severe erythema multiforme.(Stevens-Johnson syndrome, Toxic epidermal...
Dermatology Nursing;
April 1, 2007 ;
Burfeind, Daniel B.;
787 words
......after the body reacts to a medication. SJS/TEN causes mucosal erosions with widespread erythematous, cutaneous macules, or target lesions that merge together with subsequent epidermal detachment. This can be an emotionally and socially devastating disease, especially...
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Phase IIa psoriasis trial begins with topical ICAM-1 antisense inhibitor
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February 1, 2000 ;
Guttman, Cheryl;
571 words
......investigation, it will compare several different concentrations of the Isis 2302 preparation against placebo. Two individual target lesions will be identified in each patient and assigned to treatment with different study medications. Assessments will focus primarily...
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