ER: A Shift in the Night

each post gonna contain a bunch of cases i visited on ER or Clinic a week before

Friday, January 9, 2009

Steven Johnson syndrome

A 42 year old woman, know case of brain tumor since 3 month ago, after 14 session of radiotherapy had a seizure and was under treatment with phenytoin.  She complains from pruritus 1 month following taking the medicine. The pruritus became generalized and complicated with maculopapular rashes. She was admitted at diagnosis of Steven Johnson syndrome.
She didn’t response to steroid and SJS developed to TEN. She had been treated with high-dose intravenous immunoglobulin, unfortunately the patient passed away.

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