Erythema multiforme and Stevens-Johnson syndrome. Descriptive and therapeutic controversy

R. Patterson*, M. S. Dykewicz, A. Gonzalzles, L. C. Grammer, D. Green, P. A. Greenberger, K. G. McGrath, C. L. Walker

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

64 Scopus citations

Abstract

Diagnosis and particularly the management of erythema multiforme and Stevens-Johnson syndrome are controversial in medical textbooks and thus in individual cases. In these diseases, fatalities may result from various causes, including secondary infection or visceral organ damage to lung, liver, or kidneys. We present a series of 13 cases managed by one group of physicians which demonstrates the controversy in certain cases, and we review the controversy in the medical literature. Corticosteroid therapy used in this series was considered beneficial in every case by the managing physician and lifesaving in some cases. There were no fatalities in this series. Although the summation may be considered as our opinion only, the frequently suggested 'controlled trial of corticosteroid therapy' can probably never be done for ethical reasons, and series such as this will have to establish the standard of therapy.

Original languageEnglish (US)
Pages (from-to)331-336
Number of pages6
JournalCHEST
Volume98
Issue number2
DOIs
StatePublished - 1990

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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