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Burn Unit Management of Toxic Epidermal Necrolysis

Burn Unit Management of Toxic Epidermal Necrolysis Abstract • Toxic epidermal necrolysis is the name given to a group of dermatologic disorders characterized by a separation of epidermis and dermis with a subsequent skin slough. The denuded areas have the appearance of a second-degree burn. The complications of infection, negative nitrogen balance, severe pain, and emotional instability are identical to those seen in the patient with major burns. There are difficulties in patient management and advantages in burn unit care. As with the major burn, care of the patient with skin loss from toxic epidermal necrolysis is extremely complex, requiring the expertise of a burn team along with that of the dermatologist. (Arch Surg 113:758-759, 1978) References 1. Amon RB, Dimon L: Toxic epidermal necrolysis . Arch Dermatol 111:1433-1437, 1975.Crossref 2. Lyell A: A review of toxic epidermal necrolysis . Br J Dermatol 79:662-671, 1967.Crossref 3. Peck GC, Herzig GL, Elias PM: Toxic epidermal necrolysis in a patient with graft versus host reaction . Arch Dermatol 105:561-569, 1972.Crossref 4. Radimer GF, Davis JF, Ackerman AB: Fumigant-induced toxic epidermal necrolysis . Arch Dermatol 110:103-104, 1974.Crossref 5. Moncrief JA: Burns . New Engl J Med 288:444-454, 1973.Crossref 6. Davies JWL, Liliedahl SO: Metabolic consequences of an extensive burn , in Polk HC, Stone HH (eds): Contemporary Burn Management , Boston, Little Brown & Co, 1971, pp 151-170. 7. Curreri PW, Richmond D, Marvin J, et al: Dietary requirements of patients with major burns . J Am Diet Assoc 65:415-417, 1974. 8. Holli BB, Oakes JB: Feeding the burned child . J Am Diet Assoc 67:240-242, 1975. 9. Artz CP, Rittenbury MS, Yarbrough DR: An appraisal of allografts and xenografts as biological dressings for wounds and burns . Ann Surg 175:934-938, 1972.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Burn Unit Management of Toxic Epidermal Necrolysis

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Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1978.01370180100019
Publisher site
See Article on Publisher Site

Abstract

Abstract • Toxic epidermal necrolysis is the name given to a group of dermatologic disorders characterized by a separation of epidermis and dermis with a subsequent skin slough. The denuded areas have the appearance of a second-degree burn. The complications of infection, negative nitrogen balance, severe pain, and emotional instability are identical to those seen in the patient with major burns. There are difficulties in patient management and advantages in burn unit care. As with the major burn, care of the patient with skin loss from toxic epidermal necrolysis is extremely complex, requiring the expertise of a burn team along with that of the dermatologist. (Arch Surg 113:758-759, 1978) References 1. Amon RB, Dimon L: Toxic epidermal necrolysis . Arch Dermatol 111:1433-1437, 1975.Crossref 2. Lyell A: A review of toxic epidermal necrolysis . Br J Dermatol 79:662-671, 1967.Crossref 3. Peck GC, Herzig GL, Elias PM: Toxic epidermal necrolysis in a patient with graft versus host reaction . Arch Dermatol 105:561-569, 1972.Crossref 4. Radimer GF, Davis JF, Ackerman AB: Fumigant-induced toxic epidermal necrolysis . Arch Dermatol 110:103-104, 1974.Crossref 5. Moncrief JA: Burns . New Engl J Med 288:444-454, 1973.Crossref 6. Davies JWL, Liliedahl SO: Metabolic consequences of an extensive burn , in Polk HC, Stone HH (eds): Contemporary Burn Management , Boston, Little Brown & Co, 1971, pp 151-170. 7. Curreri PW, Richmond D, Marvin J, et al: Dietary requirements of patients with major burns . J Am Diet Assoc 65:415-417, 1974. 8. Holli BB, Oakes JB: Feeding the burned child . J Am Diet Assoc 67:240-242, 1975. 9. Artz CP, Rittenbury MS, Yarbrough DR: An appraisal of allografts and xenografts as biological dressings for wounds and burns . Ann Surg 175:934-938, 1972.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jun 1, 1978

References