Jha Ashish Kumar, Suchismita Arya, Jha Rajeev Kumar, Raj Vikas Kumar
Department of Gastroenterology, Indira Gandhi Institute of Medical Science, Sheikhpura, Patna 800014, India.
Department of Pediatrics, Indira Gandhi Institute of Medical Science, Sheikhpura, Patna 800014, India.
World J Gastrointest Endosc. 2019 Feb 16;11(2):115-123. doi: 10.4253/wjge.v11.i2.115.
Stevens - Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN) is a severe adverse drug reaction associated with involvement of skin and mucosal membranes, and carries significant risk of mortality and morbidity. Mucus membrane lesions usually involve the oral cavity, lips, bulbar conjunctiva and the anogenitalia. The oral/anal mucosa and liver are commonly involved in SJS or TEN. However, intestinal involvement is distinctly rare. We herein review the current literature regarding the gastrointestinal involvement in SJS or TEN. This review focuses mainly on the small bowel and colonic involvement in patients with SJS or TEN.
史蒂文斯-约翰逊综合征(SJS)或中毒性表皮坏死松解症(TEN)是一种严重的药物不良反应,伴有皮肤和黏膜受累,具有显著的死亡和发病风险。黏膜病变通常累及口腔、嘴唇、球结膜和肛门生殖器。口腔/肛门黏膜和肝脏在SJS或TEN中较为常见。然而,肠道受累极为罕见。我们在此回顾了关于SJS或TEN胃肠道受累的当前文献。本综述主要关注SJS或TEN患者的小肠和结肠受累情况。