Research Article

Ocular and Mucocutaneous Sequelae among Survivors of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis in Togo

Table 3

Risk factors of ocular sequelae among SJS/TEN survivors.

SequelaeUnivariate analysisMultivariate analysis
Yes, n=26No, n=45 OR95% CIP valueaOR95% CIP value

Age (years)
 < 35 years, n (%)21 (80.8) 27 (60.0)2.80[0.94-9.60]0.0775
Sex
 Female, n (%)19 (73.1)27 (60.0)1.81[0.65-5.43]0.2692

Type of toxidermia0.6929
 SJS, n (%)20 (76.9)38 (84.4)1-
 Overlap SJS/TEN, n (%)2 (7.7)3 (6.7)1.27[0.16-8.25]
 TEN, n (%)4 (15.4)4 (8.9)1.90[0.41-8.83]
HIV serology, n=59
 Negative, n (%)12 (46.2)21 (46.7)0.78[0.27-2.24]0.6423

Ocular involvement at acute stage0.00570.0005
 None, n (%)5 (19.2)25 (55.6)1-1
 Mild, n (%)7 (26.9)13 (28.9)2.69[0.72-10.76]3.55[0.86-16.66]0.0874
 Moderate, n (%)6 (23.1)6 (13.3)5.0[1.15-23.54]5.85[1.23-31.81]0.0303
 Severe, n (%)8 (30.7)1 (2.2)40.0[5.66-835.63]48.30[6.25-1063.66]0.0013
Used drugs, n=68
 Sulfadoxine, n (%)8 (30.7)12 (26.7)4.22[1.17-17,59]0.03315.95[1.36-31.35]0.0230
 Sulfamethoxazole, n (%)4 (15.4)9 (20.0)1.34[0.30-5,61]0.6814
 Nevirapine, n (%)9 (34.6)20 (44.4)1.49[0.51-4,33]0.4599
 NSAIDs + analgesics, n (%)3 (11.5)3 (6.7)2.107[1.110−71-..]0.9901
Time between ocular involvement and local ocular care, n=40
 >7 days, n (%) 5 (19.2) 3 (6.7)1.89[0.39-10,50]0.4333
Number of sessions of local ocular care/day, n=33
 >1 day, n (%)13 (50.0)17 (37.8)0.38[0.02-4,42]0.4522

Student test; SJS: Stevens-Johnson syndrome; TEN: toxic epidermal necrolysis; OR: odds ratio; aOR: adjusted odds ratio; : HIV was known in 59 patients; : drug used found in 68 patients; : delay specified in 40 patients; : number of sessions specified 33 patients; NSAIDs: nonsteroidal anti-inflammatory drugs.