SKIN SLOUGHING IN THE FIRST FOUR DAYS FAILURE TO RECOGNIZE STEVEN JOHNSON SYNDROME

Stevens-Johnson Syndrome (SJS) is a rare, serious disorder of the skin and mucous membranes, often characterized by skin sloughing in the early stages. It is crucial to understand the condition from various healing perspectives, including modern medicine, herbal medicine, and spiritual healing.

### Modern Medicine on SJS

Modern medicine identifies SJS as a hypersensitivity reaction, primarily triggered by medications⁵⁷. It involves skin tissue necrosis and detachment, affecting less than 10% of the body surface area⁵. In severe cases, it can progress to toxic epidermal necrolysis (TEN), where more than 30% of the body surface is involved⁷. Treatment in a hospital setting is essential and may include stopping the offending medication, wound care, pain management, and supportive therapies⁷.

### Herbal Medicine and SJS

While there is limited evidence on the effectiveness of herbal medicine in treating SJS, some natural remedies aim to support skin health and reduce inflammation. However, it is vital to consult healthcare providers before using any herbal supplements, as they may interact with conventional treatments⁹[^10^].

### Spiritual Healing and SJS

Spiritual healing practices can offer emotional support to individuals with SJS. Techniques such as mindfulness and stress reduction can help manage the psychological impact of the condition¹². These practices are complementary and should not replace medical treatment.

### Integrating Approaches for SJS Care

An integrated approach that combines modern medical treatments with supportive herbal remedies and spiritual practices can provide comprehensive care for individuals with SJS. Early intervention during the acute phase of illness is key to preventing long-term sequelae¹¹.

organization at the reference

⁵: [NIH – Stevens-Johnson Syndrome](https://rarediseases.info.nih.gov/diseases/7700/stevens-johnson-syndrome/)

⁷: [WebMD – Stevens-Johnson Syndrome (SJS): Causes and Treatments](https://www.webmd.com/skin-problems-and-treatments/stevens-johnson-syndrome)

⁹: [Healthline – Stevens-Johnson Syndrome: Causes, Diagnosis, and Treatment](https://www.healthline.com/health/stevens-johnson-syndrome)

[^10^]: [Healthline – Toxic Epidermal Necrolysis: Causes, Symptoms, and Treatment](https://www.healthline.com/health/toxic-epidermal-necrolysis)

¹¹: [SpringerLink – Stevens–Johnson Syndrome](https://link.springer.com/chapter/10.1007/978-981-16-5876-1_17)

¹²: [Mayo Clinic – Stevens-Johnson syndrome – Symptoms & causes](https://www.mayoclinic.org/diseases-conditions/stevens-johnson-syndrome/symptoms-causes/syc-20355936)

(1) Stevens-Johnson syndrome – About the Disease – Genetic and Rare …. https://rarediseases.info.nih.gov/diseases/7700/stevens-johnson-syndrome/.

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(3) Stevens-Johnson Syndrome: Causes, Diagnosis, and Treatment – Healthline. https://www.healthline.com/health/stevens-johnson-syndrome.

(4) Toxic Epidermal Necrolysis: Causes, Symptoms, and Treatment – Healthline. https://www.healthline.com/health/toxic-epidermal-necrolysis.

(5) Initial ICU Management of Skin Sloughing Diseases: Toxic … – Springer. https://link.springer.com/chapter/10.1007/978-3-540-77290-3_15.

(6) Stevens–Johnson Syndrome | SpringerLink. https://link.springer.com/chapter/10.1007/978-981-16-5876-1_17.

(7) Stevens-Johnson Syndrome (SJS): Causes, Rash & Treatments. https://my.clevelandclinic.org/health/diseases/17656-stevens-johnson-syndrome.

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(10) Peeling Skin: Causes, Diagnosis & Treatment – Cleveland Clinic. https://my.clevelandclinic.org/health/symptoms/17832-peeling-skin.

(11) Skin detachment (Concept Id: C4759673) – National Center for …. https://www.ncbi.nlm.nih.gov/medgen/1674399.

(12) What is Toxic Epidermal Necrolysis? – WebMD. https://www.webmd.com/skin-problems-and-treatments/what-is-toxic-epidermal-necrolysis.

(13) Toxic Epidermal Necrolysis (TEN) and Stevens-Johnson Syndrome (SJS …. https://link.springer.com/chapter/10.1007/978-3-662-45139-7_98.

(14) Stevens–Johnson Syndrome and Toxic Epidermal Necrolysis | SpringerLink. https://link.springer.com/chapter/10.1007/978-1-4471-6729-7_24.

(15) Case 28-2023: A 37-Year-Old Man with a Rash – The New England Journal …. https://www.nejm.org/doi/pdf/10.1056/NEJMcpc2211421.

(16) A Man with a Rash | NEJM Resident 360. https://resident360.nejm.org/clinical-pearls/a-man-with-a-rash.

(17) Stevens Johnson Syndrome and Toxic Epidermal Necrolysis: A Review of …. https://pdfs.semanticscholar.org/4599/d9e17b389111322c7e4c94177c83e3c22443.pdf.

(18) TEN – Symptoms and causes – Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/toxic-epidermal-necrolysis/symptoms-causes/syc-20491903.

(19) Stevens-Johnson syndrome – Symptoms & causes – Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/stevens-johnson-syndrome/symptoms-causes/syc-20355936.

(20) Peeling skin Causes – Mayo Clinic. https://www.mayoclinic.org/symptoms/peeling-skin/basics/causes/sym-20050672.

(21) Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis – JAMA Network. https://jamanetwork.com/journals/jamadermatology/fullarticle/2664616.

(22) Treatment Approaches and Outcomes in Stevens-Johnson Syndrome and Toxic …. https://jamanetwork.com/journals/jamadermatology/fullarticle/2783034.

(23) Stevens-Johnson Syndrome – JAMA Network. https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/563955.

(24) undefined. http://sjsupport.org/.

(25) undefined. http://www.mayoclinic.org/diseases-conditions/stevens-johnson-syndrome/home/ovc-20317097.

SKIN SLOUGHING IN THE FIRST FOUR DAYS FAILURE TO RECOGNIZE STEVEN JOHNSON SYNDROME

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