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Steven's Johnson Syndrome 101

Posted by spike4848 on February 12, 2002, at 17:56:16

In reply to Re: Questions about Lamictal/Lamotrigine » Bekka H., posted by JohnX2 on February 12, 2002, at 0:46:14

I don't know the exact details of the
> signs of the Stevens-Johnson rash, someone else can probably
> comment on that, but from what I was told you really need to
> see a monster rash on your whole body. Anyways someone should
> correct me if I am wrong.

Hey There,

SJS is severe form of allergic dermatitis .... that is your body forms antibodies against your own skin. It is very rare and there is no way to predict who will get the syndrome. Generally you see exfoliation/desquamation of the skin ... that is, your skin literally peels off like after a severe sun burn. Blisters and ulcers form over the entire body, some times extending into the mouth, lung and gut. A patient of mine just had a case .... basically you get treated like a burn victim. Lots of moisturizers, occassionally IV steriods and vigorous hydration. We also watch the kidney function.

Like TSA said, SJS is very rare .... even with lamictal. I don't think it will replace lithium though.

Spike


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