Abstract
Purpose: This case report highlights the etiology, clinical presentation, current medical treatment and acute rehabilitation intervention of an adult patient diagnosed with Toxic Epidermal Necrolysis (TEN). Stevens Johnson Syndrome /Toxic Epidermal Necrolysis (SJS/TEN) is a rare, painful, and potentially fatal, epidermolysis with involvement of skin and mucus membranes.1 The diagnostic classification is based on skin detachment of the patient's total body surface area (TBSA). While some guidelines for medical management are available for SJS/TENS, limited published literature is available concerning rehabilitation considerations for interventions of patients with this condition. Methods: This case report discusses the diagnosis and medical management, while focusing on the physical therapy contribution to the treatment team. Outcomes were assessed using the Numeric Pain Rating Scale (NPRS), pulse oximetry, blood pressure, heart rate, six-minute walk test, gait distances, strength measures, and functional ability. The patient's physical therapy treatment included interventions for pulmonary care, strength, endurance, activity tolerance, and pain. Outcomes: The patient was discharged home 29 days post onset, with improvement in pathology, impairments, and functional limitations. This case report adds to current understanding of this syndrome, medical interventions and functional rehabilitation considerations.
Published Version
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