Stevens-Johnson Syndrome, Toxic Epidermal Necrolysis: Macules, Papules, and Bullae.

J Am Psychiatr Nurses Assoc

Patricia M. Delgado, DNP, MSN, APRN, AGPCNP-BC, DCNP-BC, PMHNP-BC, Sunrise Skin & Wellness, St. Petersburg, FL, USA; University of Central Florida, Orlando, FL, USA.

Published: August 2024

Objective: The objective of this discussion paper is to illuminate the importance of early identification and treatment of Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN). SJS/TEN may occur as quickly as 4 days, more commonly 4 to 8 weeks after starting a new medication and early identification is essential.

Methods: A review of literature revealed there is a lack of diagnostic awareness related to the clinical presentation and diverse populations at risk for this devastating syndrome.

Results: A Boolean search was conducted, and six quantitative and qualitative research articles were discovered that indicate a knowledge disparity between "rash" versus SJS/TEN. Research indicates evidence-based best clinical practices for nurses and health care practitioners for assessment of risks, clinical presentation, and treatment.

Conclusions: Prompt diagnosis and discontinuation of the suspected medication will reduce potential life-threatening sequelae.

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http://dx.doi.org/10.1177/10783903241252810DOI Listing

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