Toxic Epidermal Necrolysis (TEN) AESI Form

Stevens Johnson Syndrome (SJS)/Toxic Epidermal Necrolysis (TEN) AESI Form 11-0091-F-V-1

200,00 $

The Stevens Johnson Syndrome (SJS)/Toxic Epidermal Necrolysis (TEN) AESI Form includes 2 pages of detailed questions to healthcare professionals to assess case causality.

Document Description

The Stevens Johnson Syndrome (SJS)/Toxic Epidermal Necrolysis (TEN) AESI Form asks the relevant questions over two pages for a medical assessment and potential relationship determination for the medicinal product – including:

  • Patient information
  • Medication
  • Signs and symptoms
  • Laboratory measures
  • Relevant findings
  • Patient history
  • Risk factors

The form comes ready to use and adapt to your company.