MedBugs: SAQ #192

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Case: Erythema multiforme and SJS/TEN

A 25-year-old woman presents with a widespread rash after starting penicillin V one week ago. She has mucosal involvement.

1. Give two relevant findings seen in the photograph. 2 marks

2. List four other causes of this rash. 4 marks

On closer examination of the patient, you discover that she has mucosal involvement. Your resident asks you whether this could be Stevens-Johnson Syndrome (SJS)/Toxic Epidermal Necrolysis (TEN).

3. Outline how Stevens-Johnson syndrome and toxic epidermal necrolysis are classified. 3 marks

4. Outline management priorities when treating SJS/TEN. 5 marks

5. List four complications of SJS/TEN. 4 marks

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