Steroids are useful in Stevens-Johnson syndrome.

• A. True
• B. False
• C. Only if TEN
• D. Only if in mucosal involvement

Answer: (B)

Steroids are not proven to help in Stevens-Johnson syndrome. The main approach is to stop the offending drug and provide supportive care (fluid management, wound care, pain control, and eye/oral mucosa protection). Systemic corticosteroids have been studied, but they do not consistently improve outcomes and may raise the risk of infection and delayed healing, so they are not routinely used. The lack of clear benefit applies to both SJS and its more extensive form, TEN, and treatment decisions aren’t based on whether mucosal involvement is present.