Bi Gs Irié, Pete Y, Kamagate M, Koffi N, Nda-Koffi C, Ogondon B, Kouadio S, Yapo B
Service d'anesthésie-réanimation, CHU de Bouaké, BP 1174 Bouaké, Côte d'Ivoire.
Département de pharmacologie clinique, CHU de Bouaké, BP 1174 Bouaké, Côte d'Ivoire.
Bull Soc Pathol Exot. 2018;111(1):9-11. doi: 10.3166/bspe-2018-0009.
Lyell's syndrome or toxic epidermal necrolysis is an acute and severe cutaneous adverse drug reaction with a significant morbidity and mortality. It is a very rare condition but a vital emergency with a poor prognosis. The diagnosis is clinical and confirmed by a cutaneous biopsy showing a necrosis of the epidermis. It can be due to many drugs including non-steroidal anti-inflammatory drugs. We report a case of fatal Lyell's syndrome after oral re-administration of diclofenac in a patient with a previous history of diclofenac-related Stevens-Johnson syndrome, four years back.