Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are immunologic reactions that typically present due to drug hypersensitivity. These reactions present with serious mucocutaneous manifestations that can lead to significant morbidity and mortality. The pathogeneses of SJS and TEN have yet to be clearly elucidated, but three potential immunologic mechanisms have been defined in literature: granulysin, Fas-FasL, and perforin and granzyme B. Medications have been immunologically linked as the primary causative agents of SJS/TEN. Corticosteroids, intravenous immunoglobulin administration (IVIG) and cyclosporine have been employed as treatments; however, none have resulted in consistent positive outcomes. Pharmacists have a significant role in identifying and discontinuing the offending agent and recommending pharmacotherapy for treatment.
Spinaris C, Kradel S, Tokar T, Crawford Z, Milks MM. Overview of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis. PAW Review. 2013 Jan 01; 4(1):Article 1 2-5 . Available from: https://digitalcommons.onu.edu/paw_review/vol4/iss1/1. Free full text article.