Steven Johnson SyndromeMonika 6-6-2011

8/6/2019 Steven Johnson SyndromeMonika 6-6-2011

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MEDICAL

CASE PRESENTATION ON

STEVEN JOHNSON SYNDROM

BY MONICA SWAMIG.N.M.2nd year


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Anatomy of Skin


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Person with Steven Johnson Syndrome


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Definition

Steven Johnson Syndrome is a fatal skin

disorder and the most severe form of

erythematic multiform:- The mortality rate from (SJS) approaches

(30%) .

Antibiotic ant seizure agents but zones

and sulfonamide are the most frequent

medications implicated in (SJS).


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Introduction

SJS disease are mucocutaneous reactions

that constitute a spectrum of reactions, with

SJS being the most severe.

Mortality Rate :- The mortality rate from SJSare trigger by reaction of Medications,

Antibiotics epically Sulfonamides, Ant

seizure agents .Note: - Sulfonamides are the most frequent

medications implicated.


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Clinical Manifestations

SJS is Characterized by conjunctiva burning

or itching.

Coetaneous tenderness, fever, cough, sore-throat,headache,extrememalais and myalgias

(aches& pain).

These signs are followed by a rapid onset

of erytemia involving much of skin surfaceand mucous membrane including the oral

mucosa, and conjunctiva any genitalia


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Incidence Increase in

a. The incidence is increased in older peoplebecause of their use of many medications.

b. People wit (HIV) particularly those with

acquired immunodeficiencysymdrome(AIDS) and other who areimmunocompromised are at the higher riskfor (SJS).

Risk Associated with:- Sulfonamide in (HIV)positive individuals may approach 1 case per1000 odometal 2000.


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Diagnostic Finding

1. Histologic studies of frozen skin cells

from a fresh lession and cytodiagnosis

collection of celluar material from a freshy

denuded area are performed.

2. A genetic Predispostion to erythemia

multiform has been suggested but not

confirmed for all case.

Condiction Effecing :- all ages both genders.


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Nursing Process

1. A careful inspection of skin is made

including its appearance and the extend

of involvements.

2. Pt. vital sign monitor and special attention

is given to the rhythm, and cough.


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Risk Factor In My Patient

Reactions of medicines.


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Clinical Manifestation in my Patitent

Conjunctival Burning.

Cutaneous Tenderness.

Fever.Pain in Hole Body.

Bleeding from lips.

Skin Colour is gone Black.


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PathoPhysiology

It is Unknown.


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Complications

Sepsis and Kerato conjuctivitis are

Complications of (SJS).

Un recognized and untreated sepsis can be life

threatening.


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Progress During Conversation

21.4.011- I took history ofPt. when she was

telling me how she met with this disease her

words was not clear.

22.4.011 I went to pt. room she was feeling

well the words she was saying was some

correct her lips was bleeding.


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Nursing Management

Medical Management

The goals of treatment include control of fluidand electrolyte balance, prevention of sepsis and

prevention of Opthalmic complications.Supporative care is the main treatment.

All nonessential medications are discontinuedimmediately.

If possible pt. is treated in a regional burn centre,because aggressive treatment similar to that forsevere burn is required.


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Nursing Care Plan


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Documents

Steven Johnson SyndromeMonika 6-6-2011