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Table 1 clinical features that distinguish sjs, sjs-ten overlap, and ten (adapted after 1)

From: Toxic epidermal necrolysis and Stevens-Johnson syndrome

Clinical entity

SJS

SJS-TEN overlap

TEN

Primary lesions

Dusky red lesions

Dusky red lesions

Poorly delineated erythematous plaques

 

Flat atypical targets

Flat atypical targets

Epidermal detachment

   

Dusky red lesions

   

Flat atypical targets

Distribution

Isolated lesions

Isolated lesions

Isolated lesions (rare)

 

Confluence (+) on face and trunk

Confluence (++) on face and trunk

Confluence (+++) on face, trunk, and elsewhere

Mucosal involvement

Yes

Yes

Yes

Systemic symptoms

Usually

Always

Always

Detachment (%body surface area)

< 10

10-30

> 30