Toxic epidermal necrolysis is an uncommon but severe form of epidermal sloughing with associated mucositis. Treated in a general hospital, it carries a high mortality (25% to 70%) and substantial long-term morbidity. If the patient is referred early to a burn center, where it can be treated with biologic dressings and intensive support care, the mortality can be reduced below 20% and there may be negligible long-term morbidity. We describe 19 patients so treated, with three deaths and no long-term complications.
Heimbach DM, Engrav LH, Marvin JA, Harnar TJ, Grube BJ. Toxic Epidermal NecrolysisA Step Forward in Treatment. JAMA. 1987;257(16):2171-2175. doi:10.1001/jama.1987.03390160057026