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

机译:史蒂文斯 - 约翰逊综合征和有毒表皮坏死:六种病例报告

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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 pnewnoniae 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.
机译:Stevens-Johnson综合征和中毒性表皮坏死松解症是严重的皮肤不良反应,通常由药物接触引起,最终可能导致严重的发病率和死亡率。我们报告了六名患者的经验,他们被诊断为Stevens-Johnson综合征或中毒性表皮坏死松解症,临床表现不同。在患者中,药物和肺炎支原体感染是诱因。所有患者均接受静脉注射免疫球蛋白治疗,并对皮肤和粘膜病变进行强化治疗。住院时间中位数为13.5天。最常见的长期并发症是眼部受累。在6名患者中,1名患者出现角膜上皮缺损。因此,应在诊断时和出院前进行眼科评估。

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