Momin Saira B
Saira B. Momin, DO, is Dermatology Resident at Valley Hospital Medical Center, Touro University College of Osteopathic Medicine, Las Vegas, Nevada.
J Clin Aesthet Dermatol. 2009 Feb;2(2):51-8.
Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are rare and serious cutaneous adverse reactions. There is controversy over the use of intravenous immunoglobulin (IVIG) in the treatment of SJS or TEN. The lack of randomized controlled trials to assess the benefits and risks of IVIG is due to its low prevalence and the high mortality rate associated with these cutaneous adverse reactions, especially in TEN. This article reviews published literature on case series that either supports or refutes the use of IVIG in the treatment of SJS or TEN.
史蒂文斯-约翰逊综合征(SJS)和中毒性表皮坏死松解症(TEN)是罕见且严重的皮肤不良反应。关于静脉注射免疫球蛋白(IVIG)用于治疗SJS或TEN存在争议。缺乏评估IVIG利弊的随机对照试验是由于其发病率低以及与这些皮肤不良反应相关的高死亡率,尤其是在TEN中。本文回顾了已发表的关于支持或反驳IVIG用于治疗SJS或TEN的病例系列文献。