[Toxic epidermal necrolysis. Therapy in ICU with intravenous immunoglobulins in a case].
We report a 27 years old homosexual male with AIDS that was admitted to the ICU dehydrated, with fever and severe malaise. He had irregular bullae, an extensive purpuric exanthema and a zone of epidermic detachment in the right arm. A toxic epidermal necrolysis was diagnosed and therapy with i.v. immunoglobulins was started. After four days of treatment, bullous lesions disappeared and the extension of exanthema decreased. Toxic epidermal necrolysis is a potentially fatal disease and the use of intravenous immunoglobulins for this condition has been reported as successful.
Programa de Medicina Intensiva, Intensivo Médico, Hospital Clínico de la Universidad Católica, Departamentos de Medicina Interna y Dermatología, Facultad de Medicina Pontificia Universidad Católica de Chile, Santiago de Chile.
M
M
Andresen
Y
Y
Boghero
M
M
Molgó
A
A
Dougnao
O
O
Díaz
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications; D000328:Adult; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use*; D007362:Intensive Care Units; D008297:Male; D013262:Stevens-Johnson Syndrome / Q000188:drug therapy*
D016756:Immunoglobulins, Intravenous