CD4 and toxic epidermal necrolysis: Ocular lesions are the most common and devastating complications in SJS/TEN (20% – 79% of patients).45 Araki et al. noted that steroid pulse therapy with methylprednisone at the onset of SJS/TEN is of great therapeutic importance in preventing ocular complications.46 Kim et al. noted that early treatment with systemic steroids and IVIG improved ocular outcomes.47 The aetiology of deep vein thrombosis is multifactorial, and in one patient it may have been due to prolonged hospital stay, HIV infection, low CD4 cell count, pregnancy or IVIG used.48,49,50