{Reference Type}: Case Reports
{Title}: An Indonesian female with Stevens-Johnson syndrome mimicking cutaneous lupus: A case report.
{Author}: Samson NM;Awalia ;Samson NM;Awalia ;
{Journal}: Ann Med Surg (Lond)
{Volume}: 82
{Issue}: 0
{Year}: Oct 2022
暂无{DOI}: 10.1016/j.amsu.2022.104644
{Abstract}: <B>UNASSIGNED: </B>Diagnosing bullous eruptions in systemic lupus erythematosus (SLE) patients is challenging because there are so many differential diagnoses, including drug reactions such as Stevens-Johnson syndrome (SJS)/toxic epidermal necrolysis (TEN) and TEN-like cutaneous lupus erythematosus (LE).<BR><B>UNASSIGNED: </B>An Indonesian female with a SLE history complained of an erythematous rash over the body 2 weeks ago. A pulse dose of methylprednisolone was given, and after 3 days, of getting bullae appeared all over the body and treatment stopped. The patient is treated in collaboration with dermatology, ophthalmology, and allergy consultants to obtain a diagnosis of SJS supporting skin biopsy. The patient was given methylprednisolone 62.5 mg once daily for 7 days, Gentamicin 80 mg twice daily, and the skin lesion was treated with NaCl 0.9% compression. The patient showed improvement and decreased methylprednisolone dose to 16 mg 3 times a day.<BR><B>UNASSIGNED: </B>Skin biopsy must be obtained to establish the diagnosis between JSJ/TEN and cutaneous LE.<BR><B>UNASSIGNED: </B>SJS/TEN can occur in SLE patients. The correct diagnosis can reduce the patient's mortality and morbidity.