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Stevens–Johnson syndrome following cataract surgery

A case of Stevens–Johnson syndrome in a healthy 58-year-old woman who underwent cataract surgery under topical anesthesia is reported. General skin erosions developed 2 hours after surgery. The patient's family doctor diagnosed that she was allergic to seafood. One month later, she underwent ph...

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Autores principales: Wu, Shin-Hua, Shen, Jen-Hsiang, Hsu, Wei-Hsiu, Lin, Chin-Wen, Lai, Li-Ju
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5602736/
https://www.ncbi.nlm.nih.gov/pubmed/29018676
http://dx.doi.org/10.1016/j.tjo.2014.05.005
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author Wu, Shin-Hua
Shen, Jen-Hsiang
Hsu, Wei-Hsiu
Lin, Chin-Wen
Lai, Li-Ju
author_facet Wu, Shin-Hua
Shen, Jen-Hsiang
Hsu, Wei-Hsiu
Lin, Chin-Wen
Lai, Li-Ju
author_sort Wu, Shin-Hua
collection PubMed
description A case of Stevens–Johnson syndrome in a healthy 58-year-old woman who underwent cataract surgery under topical anesthesia is reported. General skin erosions developed 2 hours after surgery. The patient's family doctor diagnosed that she was allergic to seafood. One month later, she underwent phacoemul-sification surgery in the other eye. After surgery, she developed Stevens–Johnson syndrome with general skin lesions, erythema nodosa, genital mucosa erosion, oral ulcers, gastritis, and conjunctiva edema. The symptoms subsided 2 weeks later after immunotherapy. Although nonpreserved anesthesia (2% lidocaine) has seldom been reported to cause allergic reactions via the intravenous or the intramuscular route, it is possible that an intracameral injection of 0.2% lidocaine during cataract surgery can induce Stevens–Johnson syndrome. Careful evaluation of the patient's history and proper treatment were recommended to prevent additional complications.
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spelling pubmed-56027362017-10-10 Stevens–Johnson syndrome following cataract surgery Wu, Shin-Hua Shen, Jen-Hsiang Hsu, Wei-Hsiu Lin, Chin-Wen Lai, Li-Ju Taiwan J Ophthalmol Case Report A case of Stevens–Johnson syndrome in a healthy 58-year-old woman who underwent cataract surgery under topical anesthesia is reported. General skin erosions developed 2 hours after surgery. The patient's family doctor diagnosed that she was allergic to seafood. One month later, she underwent phacoemul-sification surgery in the other eye. After surgery, she developed Stevens–Johnson syndrome with general skin lesions, erythema nodosa, genital mucosa erosion, oral ulcers, gastritis, and conjunctiva edema. The symptoms subsided 2 weeks later after immunotherapy. Although nonpreserved anesthesia (2% lidocaine) has seldom been reported to cause allergic reactions via the intravenous or the intramuscular route, it is possible that an intracameral injection of 0.2% lidocaine during cataract surgery can induce Stevens–Johnson syndrome. Careful evaluation of the patient's history and proper treatment were recommended to prevent additional complications. Medknow Publications & Media Pvt Ltd 2015 2014-07-28 /pmc/articles/PMC5602736/ /pubmed/29018676 http://dx.doi.org/10.1016/j.tjo.2014.05.005 Text en Copyright: © 2014, The Ophthalmologic Society of Taiwan http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Wu, Shin-Hua
Shen, Jen-Hsiang
Hsu, Wei-Hsiu
Lin, Chin-Wen
Lai, Li-Ju
Stevens–Johnson syndrome following cataract surgery
title Stevens–Johnson syndrome following cataract surgery
title_full Stevens–Johnson syndrome following cataract surgery
title_fullStr Stevens–Johnson syndrome following cataract surgery
title_full_unstemmed Stevens–Johnson syndrome following cataract surgery
title_short Stevens–Johnson syndrome following cataract surgery
title_sort stevens–johnson syndrome following cataract surgery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5602736/
https://www.ncbi.nlm.nih.gov/pubmed/29018676
http://dx.doi.org/10.1016/j.tjo.2014.05.005
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