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J Clin Apher ; 37(5): 516-521, 2022 Oct.
Article in English | MEDLINE | ID: covidwho-1913819

ABSTRACT

Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are life-threatening mucocutaneous reactions characterized by necrosis and detachment of the epidermis. Drugs and bacterial or viral infections are the most common causes of SJS/TEN. Although cases of SJS/TEN have been reported after hydroxychloroquine, vaccine (mRNA [Biontech], and inactivated vaccine [Sinovac]) administration and during the clinical course of active Coronavirus disease 2019 (COVID-19), limited data is indicating the COVID-19 disease as a triggering factor. Also, there are no pediatric cases of SJS/TEN associated with COVID-19 in the literature. Herein we reported two pediatric cases with a diagnosis of TEN related to COVID-19. Therapeutic plasma exchange therapy was applied to both of our patients. Although there are a few adult cases in the literature, our article is the first pediatric case report about patients diagnosed with TEN related to COVID-19 and successfully treated with plasma exchange.


Subject(s)
COVID-19 , Plasma Exchange , Stevens-Johnson Syndrome , Humans , COVID-19/complications , COVID-19/therapy , Hydroxychloroquine/adverse effects , RNA, Messenger , Stevens-Johnson Syndrome/etiology , Stevens-Johnson Syndrome/therapy , Vaccines, Inactivated/adverse effects , Child , COVID-19 Vaccines/adverse effects
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