Burn Management in a Patient With Acute Exacerbation of Comorbid Systemic Lupus Erythematosus
A 28-year-old female presented to the burn unit with 2% total body surface area second-degree burns to the right flank and right breast after accidentally spilling coffee on herself while hospitalized for an acute exacerbation of systemic lupus erythematosus (SLE) in the form of neuromyelitis optica...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495077/ https://www.ncbi.nlm.nih.gov/pubmed/37700936 http://dx.doi.org/10.7759/cureus.43385 |
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author | Davis, Bayli P Pang, Alan Abidi, Hussain R Griswold, John |
author_facet | Davis, Bayli P Pang, Alan Abidi, Hussain R Griswold, John |
author_sort | Davis, Bayli P |
collection | PubMed |
description | A 28-year-old female presented to the burn unit with 2% total body surface area second-degree burns to the right flank and right breast after accidentally spilling coffee on herself while hospitalized for an acute exacerbation of systemic lupus erythematosus (SLE) in the form of neuromyelitis optica spectrum disorder. We document her inpatient management, which was challenging because of the contradictory relationship between typical management of SLE exacerbations (i.e., immunosuppressive medication regimens) and the body’s post-burn healing process, which is inherently inflammatory in nature. Even with a high-dose immunosuppressive medication regimen, our patient’s second-degree burns healed with non-operative management without significant adverse events. Adding to a small yet growing body of literature addressing the clinical presentation and management of burn wounds in the setting of an acute SLE exacerbation, our case suggests that clinicians must carefully weigh the risks of surgical intervention with those of non-operative management when approaching burn care during an acute rheumatologic disease flare up. |
format | Online Article Text |
id | pubmed-10495077 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-104950772023-09-12 Burn Management in a Patient With Acute Exacerbation of Comorbid Systemic Lupus Erythematosus Davis, Bayli P Pang, Alan Abidi, Hussain R Griswold, John Cureus Rheumatology A 28-year-old female presented to the burn unit with 2% total body surface area second-degree burns to the right flank and right breast after accidentally spilling coffee on herself while hospitalized for an acute exacerbation of systemic lupus erythematosus (SLE) in the form of neuromyelitis optica spectrum disorder. We document her inpatient management, which was challenging because of the contradictory relationship between typical management of SLE exacerbations (i.e., immunosuppressive medication regimens) and the body’s post-burn healing process, which is inherently inflammatory in nature. Even with a high-dose immunosuppressive medication regimen, our patient’s second-degree burns healed with non-operative management without significant adverse events. Adding to a small yet growing body of literature addressing the clinical presentation and management of burn wounds in the setting of an acute SLE exacerbation, our case suggests that clinicians must carefully weigh the risks of surgical intervention with those of non-operative management when approaching burn care during an acute rheumatologic disease flare up. Cureus 2023-08-12 /pmc/articles/PMC10495077/ /pubmed/37700936 http://dx.doi.org/10.7759/cureus.43385 Text en Copyright © 2023, Davis et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Rheumatology Davis, Bayli P Pang, Alan Abidi, Hussain R Griswold, John Burn Management in a Patient With Acute Exacerbation of Comorbid Systemic Lupus Erythematosus |
title | Burn Management in a Patient With Acute Exacerbation of Comorbid Systemic Lupus Erythematosus |
title_full | Burn Management in a Patient With Acute Exacerbation of Comorbid Systemic Lupus Erythematosus |
title_fullStr | Burn Management in a Patient With Acute Exacerbation of Comorbid Systemic Lupus Erythematosus |
title_full_unstemmed | Burn Management in a Patient With Acute Exacerbation of Comorbid Systemic Lupus Erythematosus |
title_short | Burn Management in a Patient With Acute Exacerbation of Comorbid Systemic Lupus Erythematosus |
title_sort | burn management in a patient with acute exacerbation of comorbid systemic lupus erythematosus |
topic | Rheumatology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495077/ https://www.ncbi.nlm.nih.gov/pubmed/37700936 http://dx.doi.org/10.7759/cureus.43385 |
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