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Bronchiolitis obliterans associated with toxic epidermal necrolysis induced by infection: A case report and literature review

BACKGROUND: Stevens-Johnson syndrome/toxic epidermal necrolysis has a severe impact on patients' eyes, genital mucosa, and many other organs. Bronchiolitis obliterans is a rare complication of Stevens-Johnson syndrome/toxic epidermal necrolysis. DATA SOURCES: We report a case of bronchiolitis o...

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Autores principales: Liu, Jingwei, Yan, Haibo, Yang, Chunfeng, Li, Yumei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10018143/
https://www.ncbi.nlm.nih.gov/pubmed/36937984
http://dx.doi.org/10.3389/fped.2023.1116166
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author Liu, Jingwei
Yan, Haibo
Yang, Chunfeng
Li, Yumei
author_facet Liu, Jingwei
Yan, Haibo
Yang, Chunfeng
Li, Yumei
author_sort Liu, Jingwei
collection PubMed
description BACKGROUND: Stevens-Johnson syndrome/toxic epidermal necrolysis has a severe impact on patients' eyes, genital mucosa, and many other organs. Bronchiolitis obliterans is a rare complication of Stevens-Johnson syndrome/toxic epidermal necrolysis. DATA SOURCES: We report a case of bronchiolitis obliterans associated with toxic epidermal necrolysis in our department. Furthermore, we examined the patients with bronchiolitis obliterans induced by Stevens-Johnson syndrome/toxic epidermal necrolysis and summarized the clinical characteristics, treatment, and prognosis. Databases available online in English including PubMed, Medline, and Web of Science were consulted. RESULTS: We report one case and review 23 published case reports. Of the 24 patients, 13 were female, the oldest patient was 59 years old and the youngest was 5 years old. The time of bronchiolitis obliterans onset after Stevens-Johnson syndrome/toxic epidermal necrolysis varied from 5 days to 5 months. Bronchoscopy examination showed ulceration, exudative lesions, occlusion, and inflammation. The CT of lung manifestation included mosaic perfusion, bronchiectasis, consolidation, air trapping, pneumatocele, pleural thickening, lung collapse, larger central airway dilatation, lung overinflation, oligemia, and pneumomediastinum. Most cases indicated pulmonary function tests with obstructive ventilation dysfunction. The prognosis was poor; six of the patients died. CONCLUSIONS: Patients with Stevens-Johnson syndrome/toxic epidermal necrolysis may develop bronchitis obliterans at different stages, so all patients with Stevens-Johnson syndrome/toxic epidermal necrolysis should be followed up for possible respiratory complications.
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spelling pubmed-100181432023-03-17 Bronchiolitis obliterans associated with toxic epidermal necrolysis induced by infection: A case report and literature review Liu, Jingwei Yan, Haibo Yang, Chunfeng Li, Yumei Front Pediatr Pediatrics BACKGROUND: Stevens-Johnson syndrome/toxic epidermal necrolysis has a severe impact on patients' eyes, genital mucosa, and many other organs. Bronchiolitis obliterans is a rare complication of Stevens-Johnson syndrome/toxic epidermal necrolysis. DATA SOURCES: We report a case of bronchiolitis obliterans associated with toxic epidermal necrolysis in our department. Furthermore, we examined the patients with bronchiolitis obliterans induced by Stevens-Johnson syndrome/toxic epidermal necrolysis and summarized the clinical characteristics, treatment, and prognosis. Databases available online in English including PubMed, Medline, and Web of Science were consulted. RESULTS: We report one case and review 23 published case reports. Of the 24 patients, 13 were female, the oldest patient was 59 years old and the youngest was 5 years old. The time of bronchiolitis obliterans onset after Stevens-Johnson syndrome/toxic epidermal necrolysis varied from 5 days to 5 months. Bronchoscopy examination showed ulceration, exudative lesions, occlusion, and inflammation. The CT of lung manifestation included mosaic perfusion, bronchiectasis, consolidation, air trapping, pneumatocele, pleural thickening, lung collapse, larger central airway dilatation, lung overinflation, oligemia, and pneumomediastinum. Most cases indicated pulmonary function tests with obstructive ventilation dysfunction. The prognosis was poor; six of the patients died. CONCLUSIONS: Patients with Stevens-Johnson syndrome/toxic epidermal necrolysis may develop bronchitis obliterans at different stages, so all patients with Stevens-Johnson syndrome/toxic epidermal necrolysis should be followed up for possible respiratory complications. Frontiers Media S.A. 2023-03-02 /pmc/articles/PMC10018143/ /pubmed/36937984 http://dx.doi.org/10.3389/fped.2023.1116166 Text en © 2023 Liu, Yan, Yang and Li. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Liu, Jingwei
Yan, Haibo
Yang, Chunfeng
Li, Yumei
Bronchiolitis obliterans associated with toxic epidermal necrolysis induced by infection: A case report and literature review
title Bronchiolitis obliterans associated with toxic epidermal necrolysis induced by infection: A case report and literature review
title_full Bronchiolitis obliterans associated with toxic epidermal necrolysis induced by infection: A case report and literature review
title_fullStr Bronchiolitis obliterans associated with toxic epidermal necrolysis induced by infection: A case report and literature review
title_full_unstemmed Bronchiolitis obliterans associated with toxic epidermal necrolysis induced by infection: A case report and literature review
title_short Bronchiolitis obliterans associated with toxic epidermal necrolysis induced by infection: A case report and literature review
title_sort bronchiolitis obliterans associated with toxic epidermal necrolysis induced by infection: a case report and literature review
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10018143/
https://www.ncbi.nlm.nih.gov/pubmed/36937984
http://dx.doi.org/10.3389/fped.2023.1116166
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