Bronchiolitis obliterans as a long-term sequela of Stevens-Johnson syndrome and toxic epidermal necrolysis in children.
Clin Exp Dermatol
; 44(8): 897-902, 2019 Dec.
Article
em En
| MEDLINE
| ID: mdl-30908698
ABSTRACT
Toxic epidermal necrolysis (TEN) and Stevens-Johnson syndrome (SJS) are characterized by widespread skin and mucosal blistering and necrosis. The triggers and long-term sequelae in children may differ from those reported for adults. Bronchiolitis obliterans (BO) is an uncommon complication, with only 15 previously reported cases, but can lead to significant long-term morbidity, requiring lung transplantation in some cases. We report three children with nondrug-related SJS (n = 1) and TEN (n = 2) who developed BO. Two were treated with intravenous immunoglobulin therapy (2-2.4 g/kg) and all three survived. We highlight salient learning points from our cases and potential pitfalls in diagnosis of BO, including delayed onset, and we also review the literature.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Bronquiolite Obliterante
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Síndrome de Stevens-Johnson
Tipo de estudo:
Diagnostic_studies
Limite:
Adolescent
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Child
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Child, preschool
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Female
/
Humans
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Male
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article