Toxic epidermal necrolysis: The Daily PANCE Blueprint

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Toxic epidermal necrolysis: The Daily PANCE Blueprint

A patient is diagnosed with toxic epidermal necrolysis. How much surface area of the skin is involved?

A. <10%
B. 10-30%
C. >30%
D. 30-50% only
E. None of the above

Answer and topic summary

The answer is C. >30%

Toxic epidermal necrolysis (TEN) is a rare, immune-mediated dermatologic disorder. It is the same thing as Stevens-Johnson syndrome (SJS); the only difference is in the amount of skin involved. SJS impacts <10% of the surface area of the skin, TEN impacts >30%. There can be an overlap (10-30%). Etiologies include medications (MC) and infections. Treatment is similar to how you would manage burns; there is no definitive therapy.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Dermatology ⇒ Desquamation ⇒ Toxic epidermal necrolysis

Also covered as part of the Family Medicine EOR, Emergency Medicine EOR, and Pediatric EOR topic lists

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