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...

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Autores principales: Davis, Bayli P, Pang, Alan, Abidi, Hussain R, Griswold, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
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.
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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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