Toxic epidermal necrosis
https://en.wikipedia.org/wiki/Toxic_epidermal_necrolysis
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References
Stevens–Johnson Syndrome and Toxic Epidermal Necrolysis: A Review of Diagnosis and Management 34577817 NIH
Mae Stevens-Johnson Syndrome (SJS) a Toxic Epidermal Necrolysis (TEN) yn gyflyrau prin lle mae'r croen yn profi necrosis a gollwng helaeth. O ran triniaeth, mae cyclosporine yn hynod effeithiol ar gyfer SJS, tra bod cyfuniad o imiwnoglobwlin mewnwythiennol (IVIg) a corticosteroidau yn gweithio orau ar gyfer achosion o SJS a TEN.
Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are rare diseases that are characterized by widespread epidermal necrosis and sloughing of skin. Regarding treatment, cyclosporine is the most effective therapy for the treatment of SJS, and a combination of intravenous immunoglobulin (IVIg) and corticosteroids is most effective for SJS/TEN overlap and TEN.
Toxic Epidermal Necrolysis: A Review of Past and Present Therapeutic Approaches 36469487Mae Toxic epidermal necrolysis (TEN) yn adwaith croen difrifol a achosir gan feddyginiaethau penodol a gweithgaredd system imiwnedd, gan arwain at ddatgysylltu haen allanol y croen (epidermis) ar raddfa fawr, gan effeithio ar fwy na 30% o arwyneb y corff. Mae gan TEN gyfradd marwolaethau o dros 20%, yn aml oherwydd heintiau ac anawsterau anadlu. Gall atal y feddyginiaeth sy'n achosi'r adwaith, darparu gofal cefnogol, a defnyddio triniaethau ychwanegol wella'r canlyniad. Mae astudiaethau diweddar wedi dangos y gall cyffuriau fel cyclosporine, atalyddion ffactor necrosis tiwmor alffa, a chyfuniad o globulin imiwnedd mewnwythiennol a corticosteroidau fod yn ddefnyddiol, yn seiliedig ar hapdreialon rheoledig a dadansoddiadau o astudiaethau lluosog.
Toxic epidermal necrolysis (TEN) is a serious skin reaction caused by certain medications and immune system activity, resulting in large-scale detachment of the outer skin layer (epidermis), affecting more than 30% of the body's surface. TEN has a mortality rate of over 20%, often due to infections and breathing difficulties. Stopping the medication causing the reaction, providing supportive care, and using additional treatments can improve the outcome. Recent studies have shown that drugs like cyclosporine, tumor necrosis factor alpha inhibitors, and a combination of intravenous immune globulin and corticosteroids can be helpful, based on randomized controlled trials and analyses of multiple studies.
Toxic Epidermal Necrolysis and Steven–Johnson Syndrome: A Comprehensive Review 32520664 NIH
Recent Advances: There is improved understanding of pain and morbidity with regard to the type and frequency of dressing changes. More modern dressings, such as nanocrystalline, are currently favored as they may be kept in situ for longer periods. The most recent evidence on systemic agents, such as corticosteroids and cyclosporine, and novel treatments, are also discussed.
Yr achos mwyaf cyffredin yw rhai meddyginiaethau fel lamotrigine, carbamazepine, allopurinol, gwrthfiotigau sulfonamide, a nevirapine. Mae ffactorau risg yn cynnwys HIV a lupus erythematosus systemig. Mae triniaeth fel arfer yn digwydd mewn ysbyty fel uned losgiadau neu uned gofal dwys.
○ Triniaeth
Mae hwn yn glefyd difrifol, felly os effeithir ar eich gwefusau neu'ch ceg neu os bydd eich croen yn pothellu, ewch i weld eich meddyg cyn gynted â phosibl.
Dylid rhoi'r gorau i gyffuriau amheus. (e.e. gwrthfiotigau, cyffuriau gwrthlidiol ansteroidol)