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Leigh RM, Horton L, Lee BA, Min MS. Recurrent erythema multiforme in the setting of COVID-19 infection and oral candidiasis: A case for dysregulation of the T helper 17/interleukin 17 axis. JAAD Case Rep 2024; 49:73-76. [PMID: 38883173 PMCID: PMC11179536 DOI: 10.1016/j.jdcr.2024.04.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/18/2024] Open
Affiliation(s)
- Rebekah M Leigh
- Loma Linda University, School of Medicine, Loma Linda, California
| | - Luke Horton
- Department of Dermatology, University of California Irvine, Irvine, California
| | - Bonnie A Lee
- Department of Dermatology, University of California Irvine, Irvine, California
- Department of Dermatopathology, University of California Irvine, Irvine, California
| | - Michelle S Min
- Department of Dermatology, University of California Irvine, Irvine, California
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Hao L, Cai W, Zeng Z, Geng X, Li Q, Chen H, Zhang Y, Ding J. Toxic epidermal necrolysis after injection of sclerosing agent and medical adhesive into oesophageal variceal ligation in a patient with a malignant liver tumour: A case report. Exp Ther Med 2024; 27:20. [PMID: 38125343 PMCID: PMC10728904 DOI: 10.3892/etm.2023.12309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 10/13/2023] [Indexed: 12/23/2023] Open
Abstract
Chronic liver disease can cause an increase in portal sinus pressure, which may lead to rupture and bleeding of esophageal and gastric varices. Oesophageal variceal ligation, with use of sclerosing agent and tissue glue injection is commonly used in clinical practice to address oesophageal bleeding. A 58-year-old male patient with chronic liver disease was treated with oesophageal variceal ligation, sclerosing agent and tissue glue injection due to oesophageal and gastric variceal bleeding. After 2 days, the skin of the patient exhibited erythema to different degrees. After 10 days of dexamethasone treatment, the whole-body rash worsened, and a severe skin reaction appeared that was suggestive of toxic epidermal necrolysis (TEN). Strict mucosal care was provided, and corticosteroids, γ globulin and adalimumab were concurrently used for treatment. After 20 days, the patient recovered from the skin problems. To the best of our knowledge, TEN after endoscopic surgery has rarely been reported in the relevant literature. Furthermore, when patients being treated with multiple drugs have erythema multiforme, physicians should be alert to the possibility of its development into TEN. The present case report summarizes the treatment methods for patients with TEN, providing a practical clinical basis and direction for the future diagnosis and treatment of the condition.
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Affiliation(s)
- Liangchao Hao
- Department of Dermatology, Shaoxing People's Hospital, Shaoxing, Zhejiang 312000, P.R. China
- Department of Plastic Surgery, Shaoxing People's Hospital, Shaoxing, Zhejiang 312000, P.R. China
| | - Wei Cai
- Department of Dermatology, Shaoxing People's Hospital, Shaoxing, Zhejiang 312000, P.R. China
| | - Zhaomu Zeng
- Department of Neurosurgery, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, Jiangxi 330000, P.R. China
| | - Xiuchao Geng
- School of Medicine, Taizhou University, Taizhou, Zhejiang 318000, P.R. China
| | - Qiang Li
- School of Medicine, Taizhou University, Taizhou, Zhejiang 318000, P.R. China
| | - Hong Chen
- Department of Dermatology, Shaoxing People's Hospital, Shaoxing, Zhejiang 312000, P.R. China
| | - Yuhao Zhang
- Department of Neurosurgery, Cancer Centre, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang 310000, P.R. China
| | - Juan Ding
- Department of Dermatology, Shaoxing People's Hospital, Shaoxing, Zhejiang 312000, P.R. China
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