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Post-acute phase and sequelae management of epidermal necrolysis: an international, multidisciplinary DELPHI-based consensus

S. Ingen-Housz-Oro, V. Schmidt, MM. Ameri, R. Abe, A. Brassard, A. Mostaghimi, AS. Paller, A. Romano, B. Didona, BH. Kaffenberger, B. Ben Said, BYH. Thong, B. Ramsay, E. Brezinova, B. Milpied, CG. Mortz, CY. Chu, C. Sotozono, J. Gueudry, DG....

. 2023 ; 18 (1) : 33. [pub] 20230222

Jazyk angličtina Země Anglie, Velká Británie

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc23004122

BACKGROUND: Long-term sequelae are frequent and often disabling after epidermal necrolysis (Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN)). However, consensus on the modalities of management of these sequelae is lacking. OBJECTIVES: We conducted an international multicentric DELPHI exercise to establish a multidisciplinary expert consensus to standardize recommendations regarding management of SJS/TEN sequelae. METHODS: Participants were sent a survey via the online tool "Survey Monkey" consisting of 54 statements organized into 8 topics: general recommendations, professionals involved, skin, oral mucosa and teeth, eyes, genital area, mental health, and allergy workup. Participants evaluated the level of appropriateness of each statement on a scale of 1 (extremely inappropriate) to 9 (extremely appropriate). Results were analyzed according to the RAND/UCLA Appropriateness Method. RESULTS: Fifty-two healthcare professionals participated. After the first round, a consensus was obtained for 100% of 54 initially proposed statements (disagreement index < 1). Among them, 50 statements were agreed upon as 'appropriate'; four statements were considered 'uncertain', and ultimately finally discarded. CONCLUSIONS: Our DELPHI-based expert consensus should help guide physicians in conducting a prolonged multidisciplinary follow-up of sequelae in SJS-TEN.

1st Department of Dermatovenereology Masaryk University Faculty of Medicine St Ann's Faculty Hospital in Brno Brno Czech Republic

Academic Unit of Ophthalmology Birmingham and Midland Eye Centre Institute of Inflammation and Ageing University of Birmingham Birmingham UK

ADR AC GmbH Bern Switzerland

Allergy Unit IBIMA Regional University Hospital of Malaga UMA Málaga Spain

Burn Service Boston Shriners Hospital for Children Boston MA USA

Christine Kühne Center for Allergy Research and Education Davos Switzerland

Cornea and External Eye Disease Service Moorfields Eye Hospital London UK

Department of Adult and Pediatric Dermatology Bordeaux University Hospitals Bordeaux France

Department of Dermatology and Allergy Biederstein School of Medicine Technical University of Munich Munich Germany

Department of Dermatology and Allergy Center Odense Research Center for Anaphylaxis Odense University Hospital Odense Denmark

Department of Dermatology and Cutaneous Surgery University of South Florida Tampa FL USA

Department of Dermatology and Medicine Perelman School of Medicine University of Pennsylvania Philadelphia PA USA

Department of Dermatology AP HP Henri Mondor Hospital 1 Rue Gustave Eiffel 94000 Créteil France

Department of Dermatology Brigham and Women's Hospital Boston MA USA

Department of Dermatology Brigham and Women's Hospital Harvard Medical School Boston MA USA

Department of Dermatology CHU Edouard Herriot Lyon France

Department of Dermatology Coimbra University Hospital Center Faculty of Medicine University of Coimbra Coimbra Portugal

Department of Dermatology King's College Hospital NHS Foundation Trust London UK

Department of Dermatology National Taiwan University Hospital National Taiwan University College of Medicine No 7 Chung Shan South Road Taipei 10002 Taiwan

Department of Dermatology Northwestern University Feinberg School of Medicine Chicago IL USA

Department of Dermatology UC Davis Medical Center Sacramento CA USA

Department of Dermatology University Hospital Limerick Limerick Ireland

Department of Dermatology University Hospital Munich University of Ludwig Maximilian Munich Germany

Department of Dermatology University Hospital Zurich Zurich Switzerland

Department of Dermatology University Hospitals Birmingham NHS Foundation Trust Birmingham UK

Department of Dermatology University Medical Center Groningen University of Groningen Hanzeplein 1 9700 RB Groningen The Netherlands

Department of Dermatology University of California Davis Sacramento CA USA

Department of Dermatology University of Toronto Toronto ON Canada

Department of Immunology Sir Charles Gairdner Hospital Pathwest Laboratory Medicine Perth WA 6009 Australia

Department of Internal Medicine Centre Hospitalier Intercommunal de Créteil Créteil France

Department of Medicine University of Toronto Toronto Canada

Department of Medicine Vanderbilt University Medical Center Nashville TN USA

Department of Nursing and Midwifery University of Limerick Limerick Ireland

Department of Ophthalmology CHU Bichat Claude Bernard Paris France

Department of Ophthalmology CHU Charles Nicolle Rouen France

Department of Ophthalmology Kyoto Prefectural University of Medicine 465 Kajii Cho Hirokoji Agaru Kawaramach Dori Kamigyo Ku Kyoto 602 0841 Japan

Department of Oral Medicine Guy's and St Thomas' NHS Foundation Trust London UK

Department of Paediatric Dermatology Colentina Clinical Hospital Carol Davila University of Medicine and Pharmacy Bucharest Romania

Department of Psychology University of Limerick Limerick Ireland

Department of Rheumatology Allergy and Immunology Tan Tock Seng Hospital Singapore Singapore

Department of Surgery Harvard Medical School Boston MA USA

Dermatology Department Emek Medical Center Bruce Rappaport Faculty of Medicine Technion Institute of Technology Haifa Israel

Division of Allergology and Clinical Immunology Department of Pneumology Inselspital Bern University Hospital University of Bern Bern Switzerland

Division of Burns Massachusetts General Hospital Boston 02114 USA

Division of Burns Massachusetts General Hospital Boston MA USA

Division of Dermatology Niigata University Graduate School of Medical and Dental Sciences Niigata Japan

Dr Phillip Frost Department of Dermatology and Cutaneous Surgery University of Miami Miller School of Medicine Miami FL USA

EpiDermE Université Paris Est Créteil Créteil France

Faculty of Medicine University of Zurich Zurich Switzerland

Fondation Ophtalmologique Adolphe de Rothschild Paris France

Institute for Immunology and Infectious Diseases Murdoch University Murdoch WA Australia

Medical School University of Western Australia Perth WA 6009 Australia

MICORALIS Laboratory Department of Periodontology Faculty of Dentistry Côte d'Azur University Saint Roch Hospital Nice France

Moorfields Eye Hospital NHS Foundation Trust The UCL Institute of Ophthalmology London UK

Nd Department of Dermatology Colentina Clinical Hospital Carol Davila University of Medicine and Pharmacy Bucharest Romania

Oasi Research Institute IRCCS Troina Italy

Ophthalmology Bon Secours Hospital Cork Ireland

Rare Disease Unit 1 Dermatology Division Istituto Dermopatico Dell'Immacolata IRCCS Rome Italy

Reference Center for Toxic Bullous Dermatoses and Severe Drug Reactions TOXIBUL Créteil France

St John's Institute of Dermatology Guy's and St Thomas' Hospital London UK

Sunnybrook Health Sciences Centre Toronto ON Canada

The Ohio State University Wexner Medical Center Division of Dermatology Upper Arlington OH USA

ToxiTEN Group European Reference Network for Rare Skin Diseases Paris France

University Hospital Basel Basel Switzerland

Citace poskytuje Crossref.org

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$a Post-acute phase and sequelae management of epidermal necrolysis: an international, multidisciplinary DELPHI-based consensus / $c S. Ingen-Housz-Oro, V. Schmidt, MM. Ameri, R. Abe, A. Brassard, A. Mostaghimi, AS. Paller, A. Romano, B. Didona, BH. Kaffenberger, B. Ben Said, BYH. Thong, B. Ramsay, E. Brezinova, B. Milpied, CG. Mortz, CY. Chu, C. Sotozono, J. Gueudry, DG. Fortune, SM. Dridi, D. Tartar, G. Do-Pham, E. Gabison, EJ. Phillips, F. Lewis, C. Salavastru, B. Horvath, J. Dart, J. Setterfield, J. Newman, JT. Schulz, A. Delcampe, K. Brockow, L. Seminario-Vidal, L. Jörg, MP. Watson, M. Gonçalo, M. Lucas, M. Torres, MH. Noe, N. Hama, NH. Shear, P. O'Reilly, P. Wolkenstein, P. Romanelli, RP. Dodiuk-Gad, RG. Micheletti, GS. Tiplica, R. Sheridan, S. Rauz, S. Ahmad, SL. Chua, TH. Flynn, W. Pichler, ST. Le, E. Maverakis, S. Walsh, LE. French, MC. Brüggen
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