9,797 results match your criteria: "Erythema Multiforme"

Toxic epidermal necrolysis (TEN) is a severe skin reaction caused by extensive epidermal and mucosal necrosis. This clinical phenomenon is known as an acute syndrome of apoptotic pan-epidermolysis (ASAP). The ASAP phenomenon is observed in conditions that mimic TEN, highlighting the challenge in distinguishing these conditions.

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Amidst worldwide reports of adverse oral lesions subsequent to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccination, the current systematic review planned to determine the prevalence of adverse oral events in adult individuals (≥18 years) after SARS-CoV-2 vaccination, emphasizing upon the type and dose of vaccine, time of onset, and underlying pathophysiology. The registered protocol (PROSPERO CRD42023421307), conforming with PRISMA guidelines, included an all-inclusive literature search through online databases, consisting of Scopus, PubMed/MEDLINE, Web of Science, Lilacs, Livivo, and PROSPERO, completed on 2 May 2023, followed by assessment of risk of bias by Joana Briggs Institute Evaluation Checklist. Due to the paucity of literature, case reports and case series were included.

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Purpose: To investigate the rare side effects of Osimertinib in a case of toxic epidermal necrosis.

Case Presentation: We report on a case of a 44-year old woman with lung adenocarcinoma harboring an EGFR-sensitizing mutation who was treated with Osimertinib as the second-line treatment. Ten days after Osimertinib initiation, a diffuse erythematous rash rapidly spread over the patient's trunk along with vesicles and purpuric macules; furthermore, she developed erythema and exfoliation on the face and trunk and severe mucositis.

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A 33-year-old female presented with coryzal symptoms, facial swelling, severe haemorrhagic stomatitis, blistering oral mucositis, conjunctival injection and a sparse targetoid rash on the back and face, requiring admission to hospital. She had received the seasonal influenza vaccination 3 days prior to feeling unwell. Differential diagnosis included erythema multiforme major (EMM) secondary to the influenza vaccine or Mycoplasma pneumoniae-induced rash and mucositis (MIRM).

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Article Synopsis
  • - The study examines dermatological conditions presented in the emergency department (ED) over a period from January 2021 to May 2023, using a chart review of 301 cases.
  • - Findings reveal that most patients were children with a balanced gender distribution, primarily presenting during winter, with low triage levels, indicating less severe cases, and a median visit duration of over 5 hours.
  • - Viral infections were the most common complaints, with maculopapular rashes being the leading finding; the study suggests that many cases could be effectively managed by primary care physicians instead of requiring ED visits.
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COVID-19 vaccines play a crucial role in preventing complications and alleviating the impact of SARS-CoV-2. Nevertheless, these vaccines have been associated with side effects like pain, fatigue, fever, and, in rare instances, the development of sarcoidosis. This review seeks to provide an overview of research on sarcoidosis occurring after COVID-19 vaccination and attempt to identify potential factors that may contribute to this uncommon yet concerning complication.

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Anti-Cancer Drug-Induced Lyell's Syndrome: A Series of Two Patients.

Curr Oncol

November 2024

Institut du Cancer Avignon Provence, 250 Chemin de Baigne-Pieds, 84000 Avignon, France.

Article Synopsis
  • Lyell's syndrome, also known as Toxic Epidermal Necrolysis (TEN), is a severe skin condition primarily caused by an allergic reaction to medications.* -
  • Recent developments in cancer treatments, such as targeted therapy and immunotherapy, are increasingly linked to cases of Lyell's syndrome, although traditional anti-cancer drugs were less frequently associated.* -
  • Two case studies illustrate TEN occurring in patients undergoing treatment for metastatic cancers with new therapies; unfortunately, both patients succumbed to the condition despite prompt medical intervention.*
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Erythema multiforme (EM) is an immune-mediated condition that manifests as targetoid skin lesions and can be triggered by various factors, including infections and vaccinations. This case report describes a 41-day-old full-term male infant who developed widespread annular, bullseye-shaped erythematous skin lesions one week after receiving the Bacillus Calmette-Guérin (BCG) vaccination. The infant, exclusively breastfed and without a significant past medical history, presented with these lesions but no associated systemic symptoms.

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Erythema multiforme.

EClinicalMedicine

November 2024

GrIDIST (Groupe Infectiologie et Infections Sexuellement Transmissibles) Working Group of the French Society of Dermatology, France.

Article Synopsis
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Article Synopsis
  • - Severe cutaneous adverse reactions (SCARs) like AGEP, DRESS, SJS, and TEN are serious conditions associated with high mortality rates, and while corticosteroids are commonly used for treatment, their effectiveness is uncertain due to infection risks.
  • - Recent studies have introduced TNF-α inhibitors, which have shown promise in treating SCARs, with a report indicating that four patients (21-54 years old) treated with these inhibitors had successful recoveries without complications.
  • - The TNF-α inhibitors work by targeting the harmful immune response linked to SCARs, but more large-scale trials are needed to confirm their efficacy and ensure a safe approach to their use.
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  • An 11-year-old girl developed severe Grade IV skin graft-versus-host disease resembling toxic epidermal necrolysis after receiving hematopoietic progenitor cell transplantation from a fully compatible unrelated donor.
  • On the 35th day post-transplant, she exhibited rash-like lesions, and a skin biopsy confirmed a diagnosis of TEN-like acute cutaneous GVHD, highlighting serious skin damage and inflammation.
  • After adjusting her immunosuppressant medications, the patient achieved an 80% reduction in symptoms, indicating a positive response to treatment.
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Article Synopsis
  • Immune checkpoint inhibitors (ICIs), like pembrolizumab (PEM), are effective against tumors but can cause serious skin side effects (cutaneously adverse events or CAEs), especially when used in combination therapies.
  • Severe CAEs may require stopping the immunotherapy, and the risk is higher when ICIs are used with other treatments compared to when they are used alone.
  • A case study of 19 women with advanced cervical cancer highlighted the occurrence of severe CAEs, including erythema multiforme and anaphylaxis, stressing the need for tight monitoring of skin reactions during PEM combination therapy to ensure patient safety.
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Induced pluripotent stem-cell-derived corneal epithelium for transplant surgery: a single-arm, open-label, first-in-human interventional study in Japan.

Lancet

November 2024

Department of Ophthalmology, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan; Integrated Frontier Research for Medical Science Division, Institute for Open and Transdisciplinary Research Initiatives, Osaka University, Suita, Osaka, Japan; Premium Research Institute for Human Metaverse Medicine, Osaka University, Suita, Osaka, Japan. Electronic address:

Background: The loss of corneal epithelial stem cells from the limbus at the edge of the cornea has severe consequences for vision, with the pathological manifestations of a limbal stem-cell deficiency (LSCD) difficult to treat. Here, to the best of our knowledge, we report the world's first use of corneal epithelial cell sheets derived from human induced pluripotent stem cells (iPSCs) to treat LSCD.

Methods: This non-randomised, single-arm, clinical study involved four eyes of four patients with LSCD at the Department of Ophthalmology, Osaka University Hospital.

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Toxic epidermal necrolysis (TEN) is a life-threatening condition with a mortality rate of approximately 25 % to 30 %. Early and adequate wound coverage is necessary due to large skin defects. Suprathel® is a modern wound dressing that shows promising results when treating superficial wounds such as scalds, burns and abrasions.

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Article Synopsis
  • Advanced melanoma treatments have evolved with targeted therapies and immunotherapies, which significantly impact management but also lead to increased skin toxicities during treatment.
  • A study in Bologna identified that 37.5% of 202 patients treated for melanoma developed cutaneous adverse events, primarily linked to drugs like ipilimumab and nivolumab.
  • Most skin reactions were low-grade and manageable, but some resulted in severe conditions, highlighting the importance of recognizing and treating these toxicities to ensure patient quality of life.
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COVID-19 and severe cutaneous allergic reactions to sulfonamides.

Allergy Asthma Proc

November 2024

From the Section of Allergy, Asthma and Immunology, Department of Medicine, Pennsylvania State College of Medicine, Hershey, Pennsylvania and.

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Drug-Induced Oral Erythema Multiforme: A Report of a Rare Case.

Cureus

October 2024

Department of Oral Medicine and Radiology, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, IND.

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Conjunctival squamous metaplasia on amniotic membrane in Stevens-Johnson syndrome: a case report.

BMC Ophthalmol

November 2024

Department of Ophthalmology, Chiayi Chang Gung Memorial Hospital, No.6., Jiapu Rd, Chiayi, Puxih City, 613016, Chiayi County, Taiwan.

Background: To present a case of conjunctival growth on the amniotic membrane and subsequent pathology revealing conjunctival squamous metaplasia in a patient with Stevens-Johnson syndrome.

Case Presentation: A 21-year-old female presented with painful, blurred vision in both eyes for two weeks. She was diagnosed with Stevens-Johnson syndrome 5 weeks before.

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Background: Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are severe adverse drug reactions with extensive keratinocyte death. Carbamazepine (CBZ), the most commonly implicated drug in SJS/TEN, is metabolized by the cytochrome P450 enzyme 3A4 (CYP3A4) into carbamazepine-10,11-epoxide (CBZE) in the liver. While CD8 cytotoxic T cells play an important role in SJS/TEN, the underlying mechanism of exuberant immune response by CD8 T cells in these conditions remains incompletely understood.

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Stevens-Johnson syndrome presenting with massive oesophageal bleeding.

BMJ Case Rep

November 2024

Division of Medicine, Faculty of Medicine Siriraj Hospital, Golden Jubilee Medical Center, Mahidol University, Nakhon Pathom, Thailand

Stevens-Johnson syndrome (SJS) is a severe adverse drug reaction affecting the skin and mucosal membranes, characterised by lesions covering less than 10% of the body's surface. Although gastrointestinal (GI) complications are usually mild, severe GI involvement can be life-threatening. A woman in her 30s with end-stage renal disease developed sepsis from methicillin-sensitive After 15 days of hospitalisation and antibiotic treatment, she developed new skin lesions, followed by massive GI bleeding and haemodynamic instability.

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infection-associated erythema multiforme in a Maltese dog.

Can Vet J

November 2024

Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University, Seoul 05029, Republic of Korea (Hyun); Ieul Animal Clinic, Seoul 06580, Republic of Korea (Hwang S-H); Laboratory of Veterinary Dermatology and the Research Institute for Veterinary Science, College of Veterinary Medicine, Seoul National University, Seoul 08826, Republic of Korea (Hwang C-Y).

Article Synopsis
  • - An 8-year-old spayed female Maltese dog was referred for treatment due to persistent, itchy, ulcerative skin lesions and chronic ear infections lasting four months.
  • - A biopsy showed skin damage and a bacterial infection that was resistant to multiple drugs; treatment with ciprofloxacin led to improvement of the skin lesions.
  • - The case suggests that infections may trigger erythema multiforme in dogs, which is a rare condition that's not well described in veterinary literature.
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Erythema multiforme, Steven Johnson syndrome, and toxic epidermal necrolysis.

Can Vet J

November 2024

Dr. Izydorczyk is a dermatology resident at Texas A&M University and Dr. Pye is a Board-certified dermatologist at the Atlantic Veterinary College, University of Prince Edward Island.

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The occurrence of desquamation, shedding and erythema on marginal and attached gingiva is described as desquamative gingivitis (DG). Various autoimmune/dermatological disorders cause DG.The aim of the present systematic review was to gather information on all possible kinds of treatment for DG, based on specific DG diagnoses.

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