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Stevens-Johnson syndrome in a child: case report and minireview

机译:史蒂文斯 - 约翰逊综合征在一个孩子:案例报告和minireview

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Introduction . Stevens-Johnson syndrome is a rare, severe and life-threatening condition that develops mostly in response to drug use. Case presentation. We present a case of Stevens-Johnson syndrome in a boy of 11 years old, most probably developed in response to a combination of etiologic factors, such as virus infection, use of ibuprofen, and topical use of sulfanilamide agents. The clinical picture of the child was suggestive, involving tunica mucosa of mouth, genitals, conjunctiva, and skin. Parenteral administration of glucocorticoids, detoxification, antibiotic prophylaxis, and topical treatment led to rapid regression of clinical symptoms and prevented the development of complications. Conclusions . The treatment of Stevens-Johnson syndrome involves systemic glucocorticoids in combination with topical therapy. In our patient, the treatment avoided serious complications and led to rapid regression of cutaneous manifestations. The etiology of Stevens-Johnson syndrome is sometimes difficult to establish. Physicians should avoid polypragmasia and unreasonable prescription of drugs and be aware of the risk of Stevens-Johnson syndrome, especially in pediatric patients.
机译:介绍 。史蒂文斯 - 约翰逊综合征是一种罕见,严重和危及生命的病情,主要是为了响应药物使用而发展。案例演示。我们在11岁的男孩中提出了史蒂文森约翰逊综合征的案例,大部分可能是针对病因感染等病因感染,使用布洛芬的使用以及磺胺酰胺代理的组合而开发的。孩子的临床图是暗示的,涉及口腔,生殖器,结膜和皮肤的Tunica Mucosa。肠胃外给药糖皮质激素,排毒,抗生素预防和局部治疗导致临床症状的快速回归,并阻止了并发症的发展。结论。史蒂文斯 - 约翰逊综合征的治疗涉及全身糖皮质激素与局部治疗组合。在我们的患者中,治疗避免了严重的并发症,并导致皮肤表现的快速消退。史蒂文斯约翰逊综合征的病因有时难以建立。医生应避免毒品和不合理的毒品处方,并意识到史蒂文斯约翰逊综合征的风险,特别是在儿科患者中。

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