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A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
Toxic epidermal necrolysis induced by exposure to S,S-dimethyl cyanoimidodithiocarbonate: case report and nursing
Xue-Qing Liu1, Xiao-Lan Dong1, Yue-Tong Qian1
1Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Abstract:
This study summarizes the personalized diagnosis, treatment, and nursing process of a patient with toxic epidermal necrolysis (TEN) caused by exposure to S,S-dimethyl cyanoimidodithiocarbonate (DCT). Key treatment regimens include systemic glucocorticoids, cyclosporine, intravenous immunoglobulin, and single-dose infliximab, combined with nursing care for impaired skin and mucosal integrity, multidisciplinary pain management, and supportive therapy. The patient had approximately 60% body surface area (BSA) involvement upon admission. After 20 days of intensive treatment and personalized nursing, the patient's skin lesions had nearly healed, and the condition improved sufficiently to allow discharge.
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