Aortokoroner baypas cerrahisi sonrasında Stevens Johnson sendromu

Objective & Hypothesis:Stevens-Johnson syndrome is a life-threatening disease involving the skin, in which the epidermis is detached from the dermis due to cell death.

📊

Key Findings & Data:In this article, we present a 78-year-old male who underwent aortocoronary bypass surgery (ACBS) 14 days ago and was admitted to our department with the complains of high fever, malaise, fatigue, diarrhea and cutaneous erruptions.

💡

Conclusion & Impact:To the best of our knowledge, it the first case of Stevens-Johnson syndrome which was developed after ACBS.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Stevens-Johnson syndrome is a life-threatening disease involving the skin, in which the epidermis is detached from the dermis due to cell death. The syndrome is considered to be a type of hypersensitivity reaction which affects skin and mucous membranes. In this article, we present a 78-year-old male who underwent aortocoronary bypass surgery (ACBS) 14 days ago and was admitted to our department with the complains of high fever, malaise, fatigue, diarrhea and cutaneous erruptions. The patient was histopathologically diagnosed with Stevens-Johnson syndrome and died on day 20 following surgery. To the best of our knowledge, it the first case of Stevens-Johnson syndrome which was developed after ACBS.

Özet

Stevens-Johnson sendromu deriyi tutan, yaşamı tehdit eden ve hücre ölümü nedeniyle epidermisin dermisten ayrılmasına yol açan bir hastalıktır. Bu sendromun deri ve mukoz membranları tutan bir tür aşırı duyarlılık reaksiyonu olduğu düşünülmektedir. Bu yazıda yüksek ateş, halsizlik, bitkinlik, diyare ve kütanöz erüpsiyonlarla kliniğimize başvuran, 14 gün önce aortokoroner baypas cerrahisi (AKAB) uygulanmış 78 yaşında erkek hasta sunuldu. Hastaya histopatolojik olarak Stevens- Johnson sendromu tanısı konuldu ve hasta ameliyat sonrası 20. günde kaybedildi. Bildiğimiz kadarıyla bu olgu AKAB sonrası gelişen ilk Stevens-Johnson sendromu olgusuydu.

🔖

Cite This Article

JAHOLLARI, A., ŞAHİN, M. A., DEMİRKILIÇ, U., TATAR, H., GÜLER, A., YOKUŞOĞLU, M. (2022). Aortokoroner baypas cerrahisi sonrasında Stevens Johnson sendromu. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 20 - Sayı: 2, 355–357. https://ajindex.com/articles/424640

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (6)

Roujeau JC, Kelly JP, Naldi L, Rzany B, Stern RS, Anderson T, et al. Medication use and the risk of Stevens-Johnson syndrome or toxic epidermal necrolysis. N Engl J Med 1995;333:1600-7
Bastuji-Garin S, Rzany B, Stern RS, Shear NH, Naldi L, Roujeau JC. Clinical classification of cases of toxic epidermal necrolysis, Stevens-Johnson syndrome, and erythema multiforme. Arch Dermatol 1993;129:92-6
Okan G, Yaylaci S, Peker O, Kaymakoglu S, Saruc M. Vanishing bile duct and Stevens-Johnson syndrome associated with ciprofloxacin treated with tacrolimus. World J Gastroenterol 2008;14:4697-700
Auquier-Dunant A, Mockenhaupt M, Naldi L, Correia O, Schröder W, Roujeau JC, et al. Correlations between clinical patterns and causes of erythema multiforme majus, Stevens-Johnson syndrome, and toxic epidermal necrolysis: results of an international prospective study. Arch Dermatol 2002;138:1019-24
Fritsch PO, Ruiz-Maldonado R. Erythema multiforme, Stevens Johnson syndrome and toxic epidermal necrolysis. In: Erwin M, Fredberg G, Arthor Z, Klaus W, Frank A, Goldsmith LA, et al, editors. Dermatology in general medicine. 6th ed. NewYork: MC Graw Hill; 2003. p. 543-57
Sharma VK, Sethuraman G, Minz A. Stevens Johnson syndrome, toxic epidermal necrolysis and SJS-TEN overlap: a retrospective study of causative drugs and clinical outcome. Indian J Dermatol Venereol Leprol 2008;74:238-40.