1. Single Dose of Etanercept Injection: A Game Changer in Toxic Epidermal Necrolysis: A Case Series.
- Author
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KANNAN, RAJKUMAR, DANIEL, SAMUEL JEYARAJ, KUMAR, PARIMALAM, and KAVIMANI, LAVANYA
- Subjects
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ETANERCEPT , *SUBCUTANEOUS injections , *TOXIC epidermal necrolysis , *DRUG side effects , *INJECTIONS , *STEROID drugs - Abstract
Toxic Epidermal Necrolysis (TEN) is a rare hypersensitivity reaction to drugs, characterised by widespread erythema, full-thickness epidermal necrosis with mucosal involvement, and extensive apoptosis. It is a dermatological emergency and can be lethal if not promptly treated. The use of steroids in managing TEN is controversial since no gold standard therapy exists. However, a single dose of subcutaneous injection of Etanercept (a Tumour Necrosis Factor-alpha (TNF-a) inhibitor) at a dosage of 50 mg has shown promise in preventing mortality and reducing hospital stay. The authors present a case series of six TEN patients, out of which three received a single dose of Etanercept injection. All patients who received Etanercept showed a positive response, achieving complete re-epithelialisation with a median healing time of nine days. In conclusion, injection of Etanercept, a TNF-a inhibitor, effectively inhibits Fas-Fas ligand activation, thus preventing apoptosis and extensive necrosis. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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