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How Is Stevens-Johnson Syndrome Diagnosed?

Posted on Wed, 1 Jun 2016

Question: hi I was wondering how is stevens johnson syndrome diagnosed? and is it possible for the rash and burns to affect the face more than any other part of the body?

Answered by Dr. Dr. Rahul Kumar (41 minutes later)

Brief Answer:
It involves face

Detailed Answer:
Hello
Thanks for the query.
Stevens XXXXXXX syndrome is diagnosed clinically based on skin lesions.
It mainly involves face and genitals.
The skin of involved areas is tender to touch and peels off easily.
If possible upload a photograph of the involved area.
This will help me in giving a closer diagnosis.
Waiting for your response.
Thank you.

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Dr. Rahul Kumar (1 hour later)

I have been put on steriod pack and given steriod shot but this has been going on since last Monday

Answered by Dr. Dr. Rahul Kumar (30 hours later)

Brief Answer:
Rosaceae

Detailed Answer:
Hello
Thanks for the photograph.
It is not looking like Stevens XXXXXXX
Probably you have developed rosaceae.
Capsule doxycycline and metronidazole cream should help you.
Please discuss with your doctor regarding this.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Deepak

Follow up: Dr. Dr. Rahul Kumar (4 hours later)

I'll check into that, I have the skin on my lips starting to peel and burn on side of my tongue it burns a little . how long should I see a difference while taking steroids. I'm not sure if going back to hospital will help me or not

Answered by Dr. Dr. Rahul Kumar (12 hours later)

Brief Answer:
Steroids can harm you

Detailed Answer:
Hello
Steroids can give you only temporary relief.
It can even damage your face of used for longer duration.
If possible try the advice given by me.
This should help you.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Rahul Kumar (6 minutes later)

thank u for ur advice I went into er and now told I need to see dermatologist for skin byopsy I had to stop steriod pack because it's making me have severe anger issues I'm kinda scared at just stopping it but I'm not sure what else to do I'll call my dr first thing Monday morning thanks again

Answered by Dr. Dr. Rahul Kumar (1 hour later)

Brief Answer:
Taper it

Detailed Answer:
Hello
You need to taper down steroid.
For example If you are taking 30 mg daily, make it 20 mg for 3 days and then 10 mg for 3 days and finally stop.

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Dr. Rahul Kumar (5 hours later)

I was on a medrol dose pack I had 3 days left but I didn't take any of them yesterday. I also notice that when on them and after finishing them before I start wheezing I don't do that with predosione though just the dose pack

Answered by Dr. Dr. Rahul Kumar (23 hours later)

Brief Answer:
Stop steroids

Detailed Answer:
Hello
I suggest you to stop all steroids.
Probably you have taken lot of them.
Just stop and see if your symptoms aggravate or remain the same.
Let me know if you have any other doubts.
Thank you.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Deepak