title: An atypical presentation of pulmonary air-leak syndrome and multisystem toxic epidermal necrolysis.
abstract: Toxic epidermal necrolysis (TEN) is a rare and potentially fatal mucocutaneous condition that may affect both children and adults. TEN mortality rates vary greatly between both patient populations, but multisystem involvement is common. Management presents many challenges as there is no specific therapy for TEN, and patients often require the expertise of burn units. We report a child who survived TEN with multisystem involvement including the rare but life threatening occurrence of a pulmonary air-leak syndrome while also reviewing controversies surrounding TEN's pathophysiology, sequelae, and multidisciplinary approach to management.
authors.affiliation: Department of Pediatric Pulmonology, University of Mississippi Medical Center, Jackson, Mississippi.
authors.forename: Joseph T
authors.initials: JT
authors.lastname: Ellenburg
authors.forename: David
authors.initials: D
authors.lastname: Josey
mesh_terms: D000658:Amoxicillin / Q000009:adverse effects*; D000900:Anti-Bacterial Agents / Q000009:adverse effects*; D002648:Child; D006801:Humans; D008171:Lung Diseases / Q000139:chemically induced / Q000175:diagnosis*; D008297:Male; D010612:Pharyngitis / Q000188:drug therapy / Q000382:microbiology; D013262:Stevens-Johnson Syndrome / Q000175:diagnosis* / Q000209:etiology; D013352:Subcutaneous Emphysema / Q000139:chemically induced / Q000175:diagnosis*
chemical_list: D000900:Anti-Bacterial Agents; D000658:Amoxicillin
keywords: air-leak; immunosuppressants; keratinocyte apoptosis; subcutaneous emphysema; toxic epidermal necrolysis