Treatment of Eye Involvement
- Early ophthalmology review and review daily thereafter during acute illness
- Frequent application of lubrication (hyaluronate or carmellose eye drops 2 hourly)
- Corticosteroid drops (dexamethasone 0.1% twice a day) may reduce damage
- If evidence of ulceration topical antibiotic prophylaxis should be used (e.g. moxifloxacin drops four times a day)
Treatment of Mouth Involvement
- Manage lips with soft white soft paraffin ointment every 2 hours
- Clean the mouth daily with an oral sponge
- Use regular mouthwashes:
- Anti-inflammatory: rinse or spray containing benzydamine hydrochloride every three hours
- Anti-septic: rinse containing chlorhexidine twice a day
- Corticosteroid: mouthwash (e.g. betamethasone sodium phosphate) four times a day
Treatment of Urogenital Involvement
- Daily review is required during the acute illness
- Corticosteroid cream should be administered to involved but non-eroded surfaces
- Gynaecology review recommended for females to consider need for vaginal dilators
Treatment of Airway Involvement
- Mechanical ventilation may be required if pulmonary infiltrates and respiratory failure develops
- Fibreoptic bronchoscopy is useful to washout of necrotic bronchial epithelium