Erschienen in:
01.07.2024 | Research Letter
Diagnostic discordance of Stevens-Johnson syndrome and toxic epidermal necrolysis between dermatologists and primary inpatient teams: a single-institution retrospective chart review
verfasst von:
Annalise Vaccarello, Kelsey Ouyang, Alison M. Treichel, Yash Kumar, Timmie R. Sharma
Erschienen in:
Archives of Dermatological Research
|
Ausgabe 5/2024
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Excerpt
Skin disease affects 1 in 8 hospitalized adults and can cost the healthcare system $5.04 billion annually [
1]. Inpatient dermatology consultations can improve outcomes and cost of care for hospitalized individuals with skin disease [
2,
3]. Dermatology consultants and primary inpatient teams concur on diagnoses only 22–52% of the time, and dermatology consultation prompts treatment change in 58–96% of cases [
3]. Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are life-threatening conditions, with mortality rates of 1–5% and 25–35%, respectively [
4]. We investigated the diagnostic discordance of SJS/TEN between primary inpatient and dermatology consulting teams to assess the value of dermatology consultations in the identification of these conditions. …