| CASE REPORT |
|
| Year : 2011 | Volume
: 15
| Issue : 2 | Page : 123--125 |
Carbamzepine-induced toxic epidermal necrolysis
Nithyananda K Chowta1, Mukta N Chowta2, John Ramapuram1, Pramod Kumar3, Abul Fazil1
1 Department of Medicine, Kasturba Medical College, Mangalore, Manipal University, India
2 Department of Pharmacology, Kasturba Medical College, Mangalore, Manipal University, India
3 Department of Dermatology, Kasturba Medical College, Mangalore, Manipal University, India
Correspondence Address:
Mukta N Chowta
Department of Pharmacology, Kasturba Medical College, Mangalore-575001
India
DOI: 10.4103/0972-5229.83018 PMID: 21814379
Toxic epidermal necrolysis (TEN), also known as Lyell's syndrome, is a widespread life-threatening mucocutaneous disease where there is extensive detachment of the skin and mucous membrane. Many factors involved in the etiology of TEN including adverse drug reactions. Here we are reporting a case of toxic epidermal necrolysis in an adult male patient after receiving carbamazepine in a 38 year old male. On the18th day of carbamazepine, patient developed blisters which first appeared on the trunk, chest and arms. The erythematous rash was covering almost all over the body with epidermal detachment of 70% body surface area. There was loss of eye lashes, congestion of conjunctiva with mucopurulent discharge and exposure keratitis. The clinical impression was TEN induced by carbamazepine. Carbamazepine was stopped immediately. He was treated with high dose intravenous betamethasone and systemic and topical antibiotics. After one month, the progression of the skin lesions halted and he was discharged.
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