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史蒂文斯-约翰逊综合征和中毒性表皮坏死松解症:6例报告

Stevens-Johnson syndrome and toxic epidermal necrolysis: a report of six cases.

作者信息

Kara Ahu, Devrim İlker, Çağlar İlknur, Bayram Nuri, Kundak Selcen, Apa Hurşit, Altan Emir Volkan

机构信息

Departments of Pediatric Infectious Diseases, Dr. Behçet Uz Children's Hospital, İzmir, Turkey.

Departments of Dermatology, Dr. Behçet Uz Children's Hospital, İzmir, Turkey.

出版信息

Turk J Pediatr. 2019;61(4):538-543. doi: 10.24953/turkjped.2019.04.010.

Abstract

Kara A, Devrim İ, Çağlar İ, Bayram N, Kundak S, Apa H, Altan EV. Stevens-Johnson syndrome and toxic epidermal necrolysis: a report of six cases. Turk J Pediatr 2019; 61: 538-543. Stevens-Johnson syndrome and toxic epidermal necrolysis are severe cutaneous adverse reactions commonly caused by exposure to drugs and can end up with significant morbidity and mortality. We reported our experience with six patients who were diagnosed with Stevens-Johnson Syndrome or Toxic Epidermal Necrolysis with a different clinical presentation. In patients, drugs and Mycoplasma pneumoniae infection were implicated as a trigger. Intravenous Immunoglobulin treatment was given to all patients, and intensive treatment was applied for skin and mucosal lesions. The median period of stay in hospital was 13.5 days. The most common long-term complication was ocular involvement. Among six patients, corneal epithelial defects occurred in one patient. Consequently, ophthalmological evaluation should be performed both at the time of diagnosis and before hospital discharge.

摘要

卡拉A、德夫林·伊、恰拉尔·伊、巴伊拉姆·N、昆达克·S、阿帕·H、阿尔坦·E·V。史蒂文斯 - 约翰逊综合征和中毒性表皮坏死松解症:6例报告。《土耳其儿科学杂志》2019年;61: 538 - 543。史蒂文斯 - 约翰逊综合征和中毒性表皮坏死松解症是常见的严重皮肤不良反应,通常由接触药物引起,可能导致显著的发病率和死亡率。我们报告了6例被诊断为史蒂文斯 - 约翰逊综合征或中毒性表皮坏死松解症且临床表现各异的患者的治疗经验。在这些患者中,药物和肺炎支原体感染被认为是触发因素。所有患者均接受了静脉注射免疫球蛋白治疗,并对皮肤和黏膜病变进行了强化治疗。住院中位时间为13.5天。最常见的长期并发症是眼部受累。6例患者中有1例出现角膜上皮缺损。因此,在诊断时和出院前均应进行眼科评估。

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