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Treatment of oral manifestations of toxic epidermal necrolysis with low-level laser therapy in a pediatric patient.

Authors :
Rocha AL
Souza AF
Nunes LFM
Cunha NDS
Lanza CRM
Travassos DV
Silva TAD
Source :
Pediatric dermatology [Pediatr Dermatol] 2019 Jan; Vol. 36 (1), pp. e27-e30. Date of Electronic Publication: 2018 Nov 26.
Publication Year :
2019

Abstract

Drug-induced reactions are complications associated with high mortality and significant morbidity. Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN) are examples of these conditions, which are characterized by skin and mucous lesions. Here, we report a case of a 9-year-old girl who presented with blisters associated with an extensive vesicular rash and multiple ulcerations on the lips and oral cavity. A drug-induced hypersensitivity reaction to antibiotics was suspected, and a diagnosis of TEN was made. The patient was managed with withdrawal of the suspected causative agent, and the oral lesions were treated with low-level laser therapy (LLLT) and oral hygiene. This case highlights that TEN requires interdisciplinary intervention with dental assistance and follow-up to improve symptoms, nutrition, systemic condition, and quality of life.<br /> (© 2018 Wiley Periodicals, Inc.)

Details

Language :
English
ISSN :
1525-1470
Volume :
36
Issue :
1
Database :
MEDLINE
Journal :
Pediatric dermatology
Publication Type :
Academic Journal
Accession number :
30474865
Full Text :
https://doi.org/10.1111/pde.13719