Evidence map›Paper›PMID 29607330›Full record

ArticleJournal of immunology research2018

The Epidemiology of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis in China.

Shang-Chen Yang, Sindy Hu, Sheng-Zheng Zhang, Jin-Wen Huang, Jing Zhang, Chao Ji, Bo Cheng

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Journal of immunology research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 65 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Updates in the pathogenesis of SJS/TEN.Allergology international : official journal of the Japanese Society of Allergology · 2025
    Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Drug-Induced Anaphylaxis: National Database Analysis.Pharmaceuticals (Basel, Switzerland) · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Diagnostic Dilemma of Widespread Vesiculobullous Lesions: A Case Report.JNMA; journal of the Nepal Medical Association · 2022
    Article
  17. Article
  18. Review
  19. [Analysis of the clinical features and prognostic influencing factors of toxic epidermal necrolysis].Zhonghua shao shang za zhi = Zhonghua shaoshang zazhi = Chinese journal of burns · 2021
    Observational
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Shang-Chen YangDepartment of Dermatology, Xiamen Chang Gung Hospital, Xiamen, Fujian, China.ORCID 0000-0003-1818-2386
Sindy HuDepartment of Dermatology, Xiamen Chang Gung Hospital, Xiamen, Fujian, China.ORCID 0000-0002-4772-1169
Sheng-Zheng ZhangDepartment of Dermatology, Xiamen Chang Gung Hospital, Xiamen, Fujian, China.ORCID 0000-0002-5300-916X
Jin-Wen HuangDepartment of Dermatology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, China.ORCID 0000-0002-3535-1690
Jing ZhangDepartment of Dermatology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, China.ORCID 0000-0002-8513-1813
Chao JiDepartment of Dermatology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, China.ORCID 0000-0003-1010-6653
Bo ChengDepartment of Dermatology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, China.ORCID 0000-0001-9551-1142
Fujian Medical University · CNXiamen Chang Gung Hospital · CNChang Gung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stevens-Johnson syndrome and toxic epidermal necrolysis (SJS/TEN) are life-threatening disease. However, there are only few epidemiologic studies of SJS/TEN from China. To analyze the clinical characteristics, causality, and outcome of treatment for SJS/TEN in China, we reviewed case reports of patients with SJS/TEN from the China National Knowledge Infrastructure (CNKI) and Wanfang database from 2006 to 2016 and patients with SJS/TEN who were admitted to the First Affiliated Hospital of Fujian Medical University during the same period. There were 166 patients enrolled, including 70 SJS, 2 SJS/TEN overlap, and 94 TEN. The most common offending drugs were antibiotics (29.5%) and anticonvulsants (24.1%). Carbamazepine, allopurinol, and penicillins were the most common single offending drugs (17.5%, 9.6%, and 7.2%). Chinese patent medicines accounted for 5.4%. There were 76 (45.8%) patients receiving systemic steroid and intravenous immunoglobulin (IVIG) in combination therapy, especially for TEN (80.3%), and others were treated with systemic steroids alone. Mortality rate of combination treatment comparing with steroid alone in TEN patients had no statistical significance. In conclusion, carbamazepine and allopurinol were the leading causative drugs for SJS/TEN in China. Combination of IVIG and steroids is a common treatment for TEN, but its efficacy in improving mortality needs further investigation.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolChinaDrug Therapy, CombinationFemaleHumansImmunoglobulins, IntravenousInfantMaleMiddle AgedSteroidsStevens-Johnson SyndromeImmunoglobulins, IntravenousSteroids

Identifiers

PMID29607330
PMCPMC5828103
OpenAlexW2790976862

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.