Research Article

Retrospective Analysis of Corticosteroid Treatment in Stevens-Johnson Syndrome and/or Toxic Epidermal Necrolysis over a Period of 10 Years in Vajira Hospital, Navamindradhiraj University, Bangkok

Table 1

Clinical characteristics of Stevens-Johnson syndrome and/or toxic epidermal necrolysis cases from 2003 to 2012 ( ).

2008–2012
( ), (%)
2003–2007
( ), (%)
value

Age (years) 0.104
Male27 (52.9)17 (47.2)0.599
Underlying diseases
 Cardiovascular disease11 (21.5)8 (22.2)0.942
 Diabetes mellitus7 (13.7)5 (13.8)0.983
 HIV infection12 (23.5)9 (25.0)0.875
 Malignancy*7 (13.7)0 (0)0.033
Diagnosis
 SJS36 (70.6)26 (72.2)0.868
 SJS-TEN overlap7 (13.7)1 (2.8)0.082
 TEN8 (15.7)9 (25.0)0.281
Mucosal involvement
 Ocular40 (78.4)32 (88.8)0.203
 Mouth45 (88.2)35 (97.2)0.129
 Genitalia*  27 (52.9)11 (30.5)0.038
 Urethra*  2 (3.9)7 (19.4)0.019
 Anus3 (5.8)1 (2.8)0.496
SCORTEN
 ≤116 (31.4)13 (36.1)0.664
 219 (37.3)19 (52.8)0.151
 312 (23.5)3 (8.3)0.065
 41 (1.9)1 (2.8)0.802
 ≥53 (5.8)0 (0)0.139
Causes of disease
 Single drug-related44 (86.3)30 (83.3)0.705
 Multiple drug-related7 (13.7)6 (16.6)0.705
Intravenous steroid use**39 (76.5)8 (22.2)<0.001
Dexamethasone equivalent doses (mg/day) 0.914
Steroid treatment duration (day) 0.810
Steroid treatment duration of ≥7 days13 (33.3)4 (50.0)0.096

, .
SJS: Stevens-Johnson syndrome.
TEN: toxic epidermal necrolysis.