Document Type : Case Report

Author

• Naveen Kumar I

Department of Physiotherapy, Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Kolar, Karnatak 563103

Abstract

Stevens-Johnson syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are severe dermatological disorders with limited prevalence, leading to insufficient awareness among physical therapists. This knowledge gap can result in suboptimal care and heightened complications due to immobility. This case report documents the physical therapy intervention for a 20-year-old female with SJS, admitted to an Indian rural tertiary hospital. Assessments at baseline, 7th, 20th days, and 1-month post-admission showcased substantial improvements, particularly after the 7th day. Progress was evident in critical parameters: ICU mobility scale, FSS ICU tool, Barthel Index, and joint range of motion. The report highlights the intricate relationship between disease severity, impairments, and functional limitations. It underscores the pivotal role of early mobilization rooted in functional tasks, expediting recovery, and curtailing musculoskeletal and pulmonary complications, thus reducing hospital stays. This study enhances the understanding of SJS management via physical therapy, emphasizing tailored protocols, early mobilization, and interdisciplinary collaboration to optimize outcomes and alleviate SJS-related morbidity.

Keywords

• case report
• Stevens-johnson syndrome
• toxic epidermal necrolysis
• physical therapy
• early mobilization.