LTG SJS – Emergency — SCE Neurology MCQ

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EasyEpilepsy & Seizure DisordersLTG SJS – EmergencySCE Neurology

SJS from lamotrigine with mucosal involvement and 5% detachment. Immediate management?

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Correct answer: E — Stop lamotrigine immediately, admit to burns/dermatology unit

SJS is life-threatening. Immediate drug cessation. Burns/dermatology unit for wound care, fluids, ophthalmology. CBZ has cross-reactivity risk. A: Dangerous. C: Lethal. D: Cross-reactivity. E: Controversial, not primary.

Reference: BNF; NICE NG217; BAD Guidelines