Kühn-Córdova I, Ramírez-Bouchan D, Gamboa-Marrufo J D
Departamento de Pediatría, Hospital Infantil de México Federico Gómez, México DF.
An Pediatr (Barc). 2007 Jul;67(1):68-73. doi: 10.1157/13108083.
Toxic epidermal necrolysis and Stevens-Johnson syndrome are described as variants of the same disease with distinct severity and constitute the most frequent cutaneous reactions in children, causing considerable morbidity. Several reports support the use of intravenous immunoglobulin therapy in these entities. We report the cases of two patients, one with toxic epidermal necrolysis and the other with Stevens-Johnson syndrome, in whom immunoglobulin treatment was successfully used. We also reviewed the outcomes of 13 patients with toxic epidermal necrolysis and Stevens-Johnson syndrome in the previous 10 years in the Hospital Infantil de Mexico, in whom conventional treatment was used.
中毒性表皮坏死松解症和史蒂文斯 - 约翰逊综合征被描述为同一种疾病的不同变体,严重程度各异,是儿童中最常见的皮肤反应,会导致相当高的发病率。有几份报告支持在这些病症中使用静脉注射免疫球蛋白疗法。我们报告了两名患者的病例,一名患有中毒性表皮坏死松解症,另一名患有史蒂文斯 - 约翰逊综合征,他们成功接受了免疫球蛋白治疗。我们还回顾了墨西哥儿童医院过去10年中13例接受传统治疗的中毒性表皮坏死松解症和史蒂文斯 - 约翰逊综合征患者的治疗结果。