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01-07-2024 | Stevens-Johnson Syndrome | Research Letter

Diagnostic discordance of Stevens-Johnson syndrome and toxic epidermal necrolysis between dermatologists and primary inpatient teams: a single-institution retrospective chart review

Authors: Annalise Vaccarello, Kelsey Ouyang, Alison M. Treichel, Yash Kumar, Timmie R. Sharma

Published in: Archives of Dermatological Research | Issue 5/2024

Excerpt

Skin disease affects 1 in 8 hospitalized adults and can cost the healthcare system $5.04 billion annually [1]. Inpatient dermatology consultations can improve outcomes and cost of care for hospitalized individuals with skin disease [2, 3]. Dermatology consultants and primary inpatient teams concur on diagnoses only 22–52% of the time, and dermatology consultation prompts treatment change in 58–96% of cases [3]. Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are life-threatening conditions, with mortality rates of 1–5% and 25–35%, respectively [4]. We investigated the diagnostic discordance of SJS/TEN between primary inpatient and dermatology consulting teams to assess the value of dermatology consultations in the identification of these conditions. …

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Milani-Nejad N, Zhang M, Kaffenberger BH (2017) Association of Dermatology Consultations with Patient Care outcomes in hospitalized patients with inflammatory skin diseases. JAMA Dermatol 153(6):523–528. https://doi.org/10.1001/jamadermatol.2016.6130CrossRefPubMedPubMedCentral

Madigan LM, Fox LP (2019) Where are we now with inpatient consultative dermatology? Assessing the value and evolution of this subspecialty over the past decade. J Am Acad Dermatol 80(6):1804–1808. https://doi.org/10.1016/j.jaad.2019.01.031CrossRefPubMed

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Zimmerman D, Dang NH (2019) Stevens–Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN): immunologic reactions. Oncologic Crit Care 267–280. https://doi.org/10.1007/978-3-319-74588-6_195

Title: Diagnostic discordance of Stevens-Johnson syndrome and toxic epidermal necrolysis between dermatologists and primary inpatient teams: a single-institution retrospective chart review
Authors: Annalise Vaccarello
Kelsey Ouyang
Alison M. Treichel
Yash Kumar
Timmie R. Sharma
Publication date: 01-07-2024
Publisher: Springer Berlin Heidelberg
Keywords: Stevens-Johnson Syndrome
Dermatomyositis
Published in: Archives of Dermatological Research / Issue 5/2024
Print ISSN: 0340-3696
Electronic ISSN: 1432-069X
DOI: https://doi.org/10.1007/s00403-024-02867-8

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Diagnostic discordance of Stevens-Johnson syndrome and toxic epidermal necrolysis between dermatologists and primary inpatient teams: a single-institution retrospective chart review

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Keynote webinar | Spotlight on medication adherence

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