Severe broncho6bronchiolitis obliterans associated with Stevens–Johnson syndrome
https://doi.org/10.18093/0869-0189-2015-25-4-497-500
Abstract
Pulmonary complications in Stevens Johnson syndrome (SJS) or toxic epidermal ecrolysis (TEN) are rare and mostly manifest as broncho bron chiolitis obliterans with poor prognosis. Recently, there is no effective therapy for this condition in patients with SJS / TEN. We described a case of SJS with progressive hypercapnic respiratory failure in 4.5 year boy who died despite an intensive treatment. herefore, lung transplantation should be considered at the early stage of this disease.
About the Authors
I. K. AsherovaRussian Federation
MD, Head of Department of Pulmonology at State Clinical Children's Hospital N1; tel.: (903) 6382887
S. D. Popov
Russian Federation
PhD, pathologist at Division of Molecular Pathology and Therapy of Cancer, Institute of Cancer Research, London, Great Britain; tel.: (44 774) 8586247
M. A. Myagkova
Russian Federation
PhD, Associate Professor at Department of Pathology, Yaroslavl' State Medical University; tel.: (905) 6465700
N. A. Il'ina
Russian Federation
PhD, Associate Professor at Department of Radiology, I.I.Mechnikov State NorthWest Medical University, Healthcare
Ministry of Russia; tel.: (921) 3232763
V. V. Tarakanova
Russian Federation
pulmonologist at Department of Pulmonology, State Clinical Children's Hospital N1; tel.: (906) 6333779
A. V. Vybornov
Russian Federation
endoscopist at State Clinical Children's Hospital N1; tel.: (903) 8251336
A. V. Vlasova
Russian Federation
PhD, Deputy Chief Medical Officer, clinical pharmacologist, pulmonologist at State Regional Clinical Children's Hospital;
tel.: (905) 1325629
References
1. Letko E., Papaliodis D., Papaliodis G. et al. Stevens Johnson syndrome and toxic epidermal necrolysis: a review of the literature. Ann. Allergy Asthma Immunol. 2005; 94: 419–436.
2. Woo T., Saito H., Yamakawa Y. et al. Severe obliterative bronchitis associated with Stevens–Johnson syndrome. Intern. Med. 2011; 50: 2823–2827.
3. Parrilo S. Medicine World Med Library. http://www.emedicine.com/EMERG/ topic 555.htm
4. Edwards C., Penny M., Newman J. Mycoplasma pneumoniae, Stevens–Johnson syndrome, and chronic obliterative bronchitis. Thorax. 1983; 38: 867–869.
5. Finkelstein Y., Soon G., Acuna P. et al. Recurrence and outcomes of Stevens Johnson syndrome and toxic epidermal necrolysis in children. Pediatrics. 2011; 128: 723–728
Review
For citations:
Asherova I.K., Popov S.D., Myagkova M.A., Il'ina N.A., Tarakanova V.V., Vybornov A.V., Vlasova A.V. Severe broncho6bronchiolitis obliterans associated with Stevens–Johnson syndrome. PULMONOLOGIYA. 2015;25(4):497-500. (In Russ.) https://doi.org/10.18093/0869-0189-2015-25-4-497-500