Drug eruptions Flashcards
1
Q
What is toxic epidermal necrolysis
A
Fever
tender erythema affecting more than 30% of the skin surface + mucosal involvement.
It is a cell mediated cytotoxic reaction against epidermal cells by activated lymphocytes and cytokines
2
Q
What common drugs can cause toxic epidermal necrolysis?
A
Allopurinol
Sulphonamides
Anticonvulsants (phnytoin, carbemazepine, lamotrigine
NSAIDs
3
Q
What is the treatment for toxin epidermal necrolysis?
A
Stop precipitating drug
Supportive care in ICU
IV immunoglobulin Plasmapheresis