[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.
Andresen
M
M
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.
Boghero
Y
Y
Molgó
M
M
Dougnao
A
A
Díaz
O
O
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