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Stevens Johnson Syndrome

Stevens Johnson Syndrome (SJS) is a life-threatening illness, usually caused by a severe allergic reaction to a medication. Also known as Erythema Multiforme, Leyll's Syndrome and in its later stages, Toxic Epidermal Necrolysis (TEN), SJS causes large areas of the skin to become detached and lesions to develop in the mucous membranes. Infections caused by the loss of skin or scarring of major organ systems can lead to debilitation of the patient or death.



STEVENS JOHNSON SYNDROME (SJS) ARTICLES AND INTERVIEWS

Stevens Johnson Syndrome: One Compelling Story
Stevens Johnson Syndrome: One Compelling Story Seattle, WA: Her name is Sandra and she simply took some medication to feel better. That simple act appears to have thrown the young mother into a months-long tailspin of ill-health and hospitalization. Sandra has Stevens Johnson Syndrome, also known as SJS. Typical symptoms of SJS run the gamut from oozing eyes to Stevens Johnson Syndrome rash. But overall, a young woman who should be in the pink of health and enjoying her life and her family is instead fighting for her life. [ Read More ]
Bactrim SJS: From the Epitome of Health to Near-Death
Bactrim SJS: From the Epitome of Health to Near-Death Mobile, AL: After three days on Bactrim for a mild infection, Myra was so sick that she wound up in the ER with a fever of 104 degrees. And she got worse because the doctor told her to continue taking the sulfa drug. Finally a dermatologist saw her and diagnosed SJS Bactrim: Myra almost died from a severe allergic reaction to Bactrim that caused Stevens-Johnson Syndrome. [ Read More ]
Americans of Ethnic Origin May be at Higher Risk for SJS
Americans of Ethnic Origin May be at Higher Risk for SJS Washington, DC: They may originally hail from other countries, but many Americans of diverse ethnic origin may have a concern with SJS and Stevens Johnson Syndrome (SJS) given their particular ethnic make-up and their relationship to the human leukocyte antigen allele HLA-B*1502. According to a recent alert issued by the US Food and Drug Administration (FDA), Americans of Asian decent who ingest certain drugs could experience adverse SJS reactions that include toxic epidermal necrolysis (TEN). [ Read More ]

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STEVENS JOHNSON SYNDROME (SJS) IN THE NEWS

APR-28-09: Cephalon has reported 2 cases of SJS associated with the use of its cancer treatment Treanda in conjunction with allopurinol. According to media reports, 1 patient died. The drug manufacturer will be updating its prescribing information accordingly. [PHILADELPHIA BUSINESS JOURNAL: SJS TREANDA] APR-15-09: Jean McCawley, a winner of ABC's Extreme Makeover: American Dream contest was awarded $5000 for her work to battle Stevens-Johnson Syndrome. In 1996 she started the Stevens-Johnson Syndrome Foundation, after her daughter had a reaction to a seizure medication which left her blind in her right eye. [ABC NEWS DENVER: STEVENS-JOHNSON SYNDROME FOUNDATION FOUNDER] MAR-03-09: The FDA is investigating new preliminary data suggesting an increased risk of serious skin reactions from the anti-epileptic drugs phenytoin and fosphenytoin if they are taken by Asian patients who are positive for the human leukocyte antigen allele HLA-B*1502. These reactions include Stevens Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN). Phenytoin is marketed as Dilantin, Phenytek and generics. Fosphenytoin sodium is marketed as Cerebyx and generics. [FDA: STEVENS JOHNSON SYNDROME IN ASIAN PATIENTS]
FEB-10-09: The first data offering health care professionals a better look into the genetic basis of certain types of adverse drug events was released today by the FDA and the International Serious Adverse Event Consortium (SAEC). The data are focused on the genetics associated with drug-induced serious skin rashes, such as Stevens-Johnson syndrome and toxic epidermal necrolysis, and helps better predict an individual’s risk of developing these reactions. The consortium will publish its initial research results later this year. [FDA: DATA RELEASED ON CAUSES OF SJS] JAN-19-09: The sudden death of a young Penrith woman, whose partner was mistakenly suspected of murdering her, may have been caused by a fatal reaction to medication she was on. [NEWS AND STAR: SJS VICTIM DIES] NOV-24-08: The FDA has approved safety labeling revisions that strengthen the existing warnings for Nasacort AQ nasal spray in children; warn of the risk for rash in patients receiving Reyataz therapy; and emphasize warnings related to the use of Zemuron injection in certain settings. [MEDSCAPE: FDA STENGHTHENS SJS WARNINGS]

[FREE CASE EVALUATION]IN YOUR OWN WORDS

Tegratol almost killed me. I had an SJS reaction to the drug . My skin peeled so bad that even the inside of my mouth peeled.
SJS...The reaction was so bad that when I walked into the Emergency Room the ER nurse looked at me and said SJS.
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Stevens Johnson Syndrome (SJS)

Pharmaceutical manufacturers are aware of the risks associated with their drugs and the potential for adverse events to occur such as Stevens Johnson Syndrome (SJS), yet proper warnings are for the most part inadequate. Many over-the-counter (OTC) drugs such as Ibuprofen--found in Advil and Motrin—have been linked to this horrific disease. Without adequate warnings, patients who develop SJS may continue to take the SJS-causing drug which could lead to life-threatening TEN.

SJS Medications

SJS is caused by almost any medication, including antibiotics, anticonvulsants sedatives and pain killers. The leading causes of this disease are the following medications:
  • Ibuprofen (Advil, Children's Advil, Motrin, Childrens Motrin and Nuprin)
  • Ketek, an antibiotic
  • Dilantin, an anticonvulsant
  • COX-2 inhibitors Bextra (Valdecoxib),Vioxx (Rofecoxib), Celebrex (Celecoxib), and Non Steroidal Anti-Inflammatory Drugs (NSAID's) including Daypro (Oxaprozein)
  • Non Steroidal Anti Inflammatory drugs such as Feldene (Piroxicam), Naproxen (Aleve)
In May, 2006 the FDA updated several prescription and over the counter (OTC) medications with a warning label as a result of increased risk of developing Steven's Johnson Syndrome. The following drugs had either a new warning regarding SJS or additional wording:
  • Tolectin 600 Tablets (Tometin Sodium)
  • Tolectin DS Capsules (Tometin Sodium)
  • Advil Allergy Sinus Tablets (200 mg ibuprofen / 30 mg pseudoephedrine HCI / 2 mg chlorpheniramine maleate)
  • Advil Cold & Sinus Tablets (200 mg ibuprofen / 30 mg pseudoephedrine HCI)
  • Advil Liqui-Gels (200 mg ibuprofen capsules)
  • Advil Migraine Capsules (200 mg ibuprofen)
  • Children's Motrin Chewable Tablets (50 mg ibuprofen)
  • Motrin Junior Strength Chewable Tablets (100 mg ibuprofen)
  • Motrin Cold & Sinus Tablets (200 mg ibuprofen / 30 mg pseudoephedrine HCI)
  • Motrin IB Tablets (200 mg ibuprofen)
  • Motrin Infants' Drops (50 mg / 1.25 mL ibuprofen oral suspension)
Symptoms of Stevens Johnson Syndrome

sjs Stevens Johnson Syndrome can begin with a fever, sore throat and headache and over a few days (or sometimes even minutes) can turn into skin lesions and blisters. It generally affects the mucous membranes of the mouth, throat, eyes, genital tract and intestinal tract. Ulcers inside the mouth are the most common with irritation to the throat, tongue, gums, and lips. If left untreated, internal organs are affected.

As Stevens Johnson Syndrome evolves, the skin literally sloughs off in sheets. Patients are typically treated in a hospital's burn unit. If the skin lesions become infected, or the patient develops lesions in the lungs, it can cause death (which results in about 15-20 percent of cases).

This horrific and painful disease frequently causes blindness. Recognizing early symptoms of SJS and providing prompt medical attention are the most valuable tools to minimizing long-term damage.

Who is at Risk?

Allergic drug reactions are a major cause of death in the United States, causing more than 100,000 deaths among patients each year.

Those patients most likely to develop Stevens Johnson Syndrome are extremely allergic to drugs such as Ibuprofen, as well as other painkillers and antibiotics. Most cases occur in adults between the ages of 20-40 years but SJS has been diagnosed in children as young as 3 months old. Anyone who takes prescription or over-the-counter (OTC) drugs runs the risk of developing allergic reactions and developing serious health problems like Stevens Johnson Syndrome.

Drug companies who place profit above people must be held accountable for their negligence and the damage they cause to innocent victim's lives. Our Stevens Johnson Syndrome lawyers have helped thousands of clients win millions of dollars from the manufacturers and suppliers of unsafe drugs and products.


Register your Stevens Johnson Syndrome Case

If you or a loved one has suffered from Stevens Johnson Syndrome, you may qualify for damages or remedies that may be awarded in a Stevens Johnson Syndrome class action or lawsuit. Please click the link below to submit your Stevens Johnson Syndrome complaint to an attorney who will review your claim at no cost.


Posted on Nov-19-04
Updated on Jun-22-09

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