Research Article

Clinical Features and Treatment Outcomes among Children with Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis: A 20-Year Study in a Tertiary Referral Hospital

Table 1

Demographics of patients with Stevens-Johnson syndrome and overlap-toxic epidermal necrolysis.

SJS, N = 20Overlap-TEN, N = 16Overall, N = 36P value

Male (%)8 (40.0)8 (50.0)16 (44.4)0.549

Age (yr) (mean ± SD)8.6 ± 4.29.9 ± 3.69.2 ± 4.00.373

Underlying diseases, N (%)0.623
 None7 (35.0)8 (50.0)15 (41.6)
 Neurological diseases6 (30.0)6 (37.5)12 (33.3)
  (seizure, MELAS, GBS)
 HIV2 (10.0)1 (6.2)3 (8.3)
 ESRD1 (5.0)1 (6.2)2 (5.6)
 Wilson disease2 (10.0)02 (5.6)
 SLE1 (5.0)01 (2.8)
 Cyanotic heart disease1 (5.0)01 (2.8)

Probable causative factors (%)0.185
 Unknown4 (20.0)2 (12.5)6 (16.6)
 Infection1 (5.0)3 (18.8)4 (11.1)
 Drug15 (75.0)11 (68.7)26 (72.3)
  Antiepileptics5 (25.0)8 (50.0)13 (36.1)
  Antibiotics7 (35.0)2 (12.5)9 (25.0)
  D-penicillamine2 (10.0)02 (5.6)
  Antivirus1 (5.0)1 (6.2)1 (2.8)
  NSAIDs001 (2.8)

MELAS, mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke; GBS, Guillain-Barre syndrome; HIV, human immunodeficiency virus; ESRD, end-stage renal disease; SLE, systemic lupus erythematosus.