Life-Threatening Skin Rashes (cont.)
Prognosis of Life-Threatening Skin Rashes
These disorders pose a serious risk for death if they do not get treated. Early treatment and care in a hospital or intensive care unit greatly increases the chance of survival.
- Pemphigus vulgaris: Despite early treatment, 5%-15% of people with PV will die. Delay in starting treatment makes death more likely. Many people require long-term steroid use to control the disease.
- Stevens-Johnson syndrome: Those with SJS who receive treatment have a 90% chance of survival.
- Toxic epidermal necrolysis: Even with treatment, 30%-50% of people with TEN have a very poor outlook and may die.
- Toxic shock syndrome: With medical treatment, 92%-95% of people will recover.
- Staphylococcal scalded skin syndrome: SSSS has the most favorable chance of recovery. Only a small percentage of cases result in death.
Timothy J. Rupp, MD, FACEP, FAAEM
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