But first the dead skin must be carefully removed and the area cleansed to speed recovery. Then the denuded area is covered with antimicrobial ointment and a sterile dressing. Applying ice or cold water can help reduce pain and decrease injury. The inflammatory reaction is not limited to the skin. The mucous membranes of the eyes, mouth, genitals, and anus often show redness and widespread tissue destruction.
Patients can shed the epidermis of the eyelids, as well as eyebrows, fingernails, and toenails.
In severe cases the inflammation can extend to the internal organs, causing damage to the intestinal and respiratory tracts. Mary was, in this respect, fortunate. Her internal symptoms were limited to some inflammation in her mouth. A topical ointment helped heal and anesthetize the tender inflamed sites. Most patients suffer damage only in the epidermis.