ABSTRACT
INTRODUCCIÓN: El síndrome de Stevens-Johnson y la necrólisis epidérmica tóxica son 2 graves enfermedades inmunológicas dentro del contexto de síndrome mucocutáneo ampolloso, con diferente grado de afectación cutánea y que suelen presentar afectación de al menos 2 membranas mucosas. Casos clínicos: Presentamos 3 casos clínicos, 2 de ellos con importantes secuelas oftalmológicas que habían recibido tratamiento farmacológico como posible desencadenante, y otro cuadro más larvado causado por Mycoplasma pneumoniae. DISCUSIÓN: El oftalmólogo desempeña un papel crucial en la evolución y cuidados oculares del paciente para intentar evitar la aparición de secuelas y la consiguiente pérdida de visión
INTRODUCTION: Stevens-Johnson syndrome and toxic epidermal necrolysis are two serious immune diseases within the context of bullous mucocutaneous syndrome. These have varying degrees of involvement of the skin and usually at least two mucous membranes. Clinical cases: Three clinical cases are presented, two of them with significant ophthalmological sequelae, who had received drug treatment as a possible trigger, and another milder clinical case caused by Mycoplasma pneumoniae. DISCUSSION: The ophthalmologist plays a crucial role in the outcome and eye care of the patient in order to try to avoid the appearance of sequelae and subsequent loss of vision
Subject(s)
Humans , Male , Female , Child, Preschool , Child , Stevens-Johnson Syndrome/diagnosis , Dermatitis, Exfoliative/diagnosis , Erythema/diagnosis , Conjunctivitis/etiology , Pneumonia, Mycoplasma/complications , Adrenal Cortex Hormones/therapeutic use , Xerophthalmia/etiology , Corneal Ulcer/etiologyABSTRACT
INTRODUCTION: Stevens-Johnson syndrome and toxic epidermal necrolysis are two serious immune diseases within the context of bullous mucocutaneous syndrome. These have varying degrees of involvement of the skin and usually at least two mucous membranes. CLINICAL CASES: Three clinical cases are presented, two of them with significant ophthalmological sequelae, who had received drug treatment as a possible trigger, and another milder clinical case caused by Mycoplasma pneumoniae. DISCUSSION: The ophthalmologist plays a crucial role in the outcome and eye care of the patient in order to try to avoid the appearance of sequelae and subsequent loss of vision.
Subject(s)
Conjunctivitis/etiology , Corneal Opacity/etiology , Corneal Ulcer/etiology , Dry Eye Syndromes/etiology , Stevens-Johnson Syndrome/complications , Adrenal Cortex Hormones/therapeutic use , Anti-Bacterial Agents/therapeutic use , Biological Dressings , Child , Combined Modality Therapy , Conjunctivitis/therapy , Corneal Ulcer/surgery , Corneal Ulcer/therapy , Dry Eye Syndromes/therapy , Ectropion/etiology , Eye Enucleation , Female , Humans , Ibuprofen/adverse effects , Immunoglobulins, Intravenous/therapeutic use , Male , Pneumonia, Mycoplasma/complications , Stevens-Johnson Syndrome/drug therapyABSTRACT
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