Topical anesthetics are useful in reducing pain and allowing the patient to take in fluids. Areas of denuded skin must be covered with compresses of saline or Burow solution. Underlying diseases and secondary infections must be identified and treated. Offending drugs must be stopped. The use of systemic steroids is controversial.
Some authors believe that they are contraindicated.
Treatment with systemic steroids has been associated with an increased incidence of complications. Tetanus prophylaxis should be addressed. Consultants may help establish the diagnosis and direct inpatient care. Dermatology is most likely to help establish the diagnosis, with or without biopsy. Severe cases may require the involvement of a burn or plastic surgical specialist.