progresión a necrólisis epidérmica tóxica por uso de lamotrigina: a propósito de un caso progression to toxic epidermal necrolysis by using lamotrigina: in connection of a case

progresión a necrólisis epidérmica tóxica por uso de lamotrigina: a propósito de un caso progression to toxic epidermal necrolysis by using lamotrigina: in connection of a case

;M X Andreoli;M Tellez;A Guglielmone;C M Velázquez;V N Dilsizian
journal of the saudi heart association 2008 Vol. 89 pp. 188-192
147
andreoli2008revistaprogresin

Abstract

El Síndrome de Stevens Johnson (SSJ), el Síndrome de Superposición (SSJ/ NET) y la Necrólisis Epidérmica Tóxica (NET) son formas clínicas cutáneo-mucosas graves, desencadenadas por fármacos y muy frecuentemente por anticonvulsivantes. Comunicamos el caso de una paciente medicada por su epilepsia, quién presentó un cuadro incipiente de SSJ empeorando rápidamente hasta derivar en la NET. A pesar de la gravedad, la paciente respondió satisfactoriamente a altas dosis de corticoides sistémicos desde el comienzo y por las medidas de soporte del equipo médico multidisciplinario del hospital.
The Stevens Johnson Syndrome, the Overlape Syndrome (SSJ / NET), and the Toxic Epidermal Necrolysis are clinical cutaneous mucouse forms due to drugs administration and most frequently due caused by antiepileptic. We communicate the case of a patient treated with lamotrigina for epilepsy, who presented an incipient case of Stevens Johnson Syndrome, worsened rapidly causing a Toxic Epidermal Necrolysis. Nevertheless, the patient gained a satisfactory answer due to high doses of corticoids, which were given from the beginning as well as the measures and the support of the whole medical team of the hospital.

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