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Journals / Türk Anestezi ve Reanimasyon Dergisi / 2009 / Cilt: 37 - Sayı: 6

Stevens-Johnson sendromlu hastada total intravenöz anestezi yönetimi: Olgu sunumu

Total intravenous anesthesia management of a patient with Stevens - Johnson syndrome: Case report

Hekimoğlu Sevtap ŞAHİN
Işıl GÜNDAY
Salih SEVDİ
Pages
389–393
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this case report, we aimed to present anaesthetic management of a 32 year-old woman with Stevens Johnson Syndrome who underwent cervical conisation under general anesthesia because of cervical cancer.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Stevens-Johnson syndrome is a disorder of the skin and mucous membranes with severe bullous forms manifesting systemic toxic effects.
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Key Findings & Data:Various etiologies particularly numerous medications and infectious agents have been implicated.
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Conclusion & Impact:In this case report, we aimed to present anaesthetic management of a 32 year-old woman with Stevens Johnson Syndrome who underwent cervical conisation under general anesthesia because of cervical cancer.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Stevens-Johnson syndrome is a disorder of the skin and mucous membranes with severe bullous forms manifesting systemic toxic effects. Various etiologies particularly numerous medications and infectious agents have been implicated. Anaesthetic management of this syndrome must be accomplished with a minimal applicable dose of the anaesthetic agent, in addition any traumatic process must be avoided, other drugs must be carefully given, and the patient must be observed carefully. The patient was diagnosed as Stevens-Johnson syndrome three months ago following drug administration for the treatment of upper respiratory tract infection. In this case report, we aimed to present anaesthetic management of a 32 year-old woman with Stevens Johnson Syndrome who underwent cervical conisation under general anesthesia because of cervical cancer.

Özet

Stevens-Johnson sendromu sistemik toksik etki içeren ciddi büllöz formlar ile deri ve mukoza membranlarının hastalığıdır. Özellikle çok sayıda tıbbi tedavi ve infeksiyon ajanları olmak üzere çeşitli etiyolojiler gösterilmektedir. Bu hastalık tablosunda, anestezi yönetiminde düşük dozda anestezik ajanlar kullanılmalı, travmatik girişimlerden sakınılmalı, diğer ilaçlar dikkatle uygulanmalı ve hasta izlemi dikkatli yapılmalıdır. Hastaya üst solunum yolu infeksiyonu tedavisi için ilaç verilmesinden 3 ay önce Stevens-Johnson sendromu tanısı konulmuş. Bu olgu sunumunda genel anestezi altında yarı elektif, servikal kanser için konizasyon yapılan Stevens-Johnson sendromlu, 32 yaşında kadın hastada anestezi yönetimini sunmayı amaçladık.

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Cite This Article

ŞAHİN, H. S., GÜNDAY, I., SEVDİ, S. (2022). Stevens-Johnson sendromlu hastada total intravenöz anestezi yönetimi: Olgu sunumu. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 37 - Sayı: 6, 389–393. https://ajindex.com/articles/619932

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References (17)

  1. Stevens AM, Johnson PC. A new eruptive fever associated with stomatitis and ophtalmica: report of two cases in children. Am J Dis Child 1922;24:526-33
  2. Forman R, Koren G, Shear NH. Erythema Multiforme, Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis in children. Drug Safety 2002;25:965-72
  3. Agrawal A, Bramble MG, Shehade S, Dean J. Esophageal structuring secondary to adult Stevens-Johnson Syndrome: similarities in presentation and management to corrosive injury. Endoscopy 2003;35(5):454-7
  4. Roujeau JC, Stern RS. Severe adverse cutaneous reactions to drugs. N Engl J Med 1994;331:1272-85
  5. Uğuz A, Berber Z, Haspolat Ş, et al. Stevens-Johnson Syndrome-Toxic Epidermal Necrolysis due to Lamotrigine: A case report. Turkiye Klinikleri J Pediatr 2005;14:36-9
  6. Colic-Hadzic B, Mladina N, Latifagic A, Zulic S. The Stevens-Johnson syndrome-personal experience Med Arh 2002;56:54-6
  7. Ghislain PD, Roujeau JC. Treatment of severe drug reactions: Stevens-Johnson Syndrome, Toxic Epidermal Necrolysis and Hypersensitivity syndrome Dermatology Online Journal 2002;8: 5
  8. Chabas E, Salazar F, Rovira I, Nalda MA. Stevens-Johnson Syndrome associated with esophageal stenosis. Rev Esp Anesthesiol Reanim 1990;37:364-5
  9. Cucchiara RF, Dawson B. Anesthesia in Stevens –Johnson Syndrome: report of case. Anesthesiology 1971;35(5):537-9
  10. Morgan GE, Mikhail MS, Murray MJ. Inhalation Anesthetics. In Morgan GE; ed. Clinical Anesthesiology. 4 nd ed. New York: Mc Graw Hill Medical; 2006:169-70
  11. Morgan GE, Mikhail MS, Murray MJ. Nonvolatile Anesthetic Agents. In Morgan GE; ed. Clinical Anesthhesiology. 4 nd ed. New York: Mc Graw Hill Medical; 2006:192-201
  12. Granstein RD. Erythema Multiforme Major (Stevens-Johnson Syndrome). In: Albert DM, Jakobiec FA. eds. Principles and Practice of Ophthalmology. Philadelphia: WB Saunders; 1994:3169-70
  13. Boe J, Dalgaard JB, Scott D. Mucocutaneous ocular syndrome with intestinal involvement. Amer J Med 1958;25:857-67
  14. Ward B, Culley JP, Segal RJ. Dermatologic reaction in Stevens-Johnson syndrome after ophthalmic anesthesia with proparacaine hydrochloride. Am J Ophtalmol 1978;86(1):133-5
  15. Howell CG, Mansberger JA, Parrish RA. Esophageal stricture secondary to Stevens-Johnson syndrome. J Pediatr Surg 1987;22(11):994-5
  16. Seyhan M. Treatment of drug eruptions. Türkiye Klinikleri. J Dermatol-Special Topics 2008;1:68-75
  17. Jo DS, Yang JW, Hwang PH, Lee DY. Stevens-Johnson Syndrome in a boy with nephrotic syndrome