PATIENT WITH STEVENS JOHNSON SYNDROME THAT EVOLVED TO TOXIC EPIDERMAL NECROLISIS (LYELL SYNDROME): A CASE REPORT

Abstract

Introduction: This syndrome is a serious skin condition that causes large areas of scaling, affecting more than 30% of the body. Objective: To carry out a case study of a patient with Stevens Johnson syndrome who evolved to toxic epidermal necrolysis (Lyell's syndrome). Methodology: This is a retrospective descriptive research with a quantitative approach where the variables used were taken from the patient's electronic medical record. Case study: She was admitted to L.A.S, female, 41 years old, presenting edema on the face and blistering vesico lesions, some already ruptured and others in the crusted stage, with an erythematous and scaly base, pruritic, affecting the oral mucosa, face, chest, back, abdomen , upper and lower limbs, more evident on the back and lips, starting at the base of the neck and later spreading throughout the body. He informs that he has been using drugs for seven days, by self medication. She was diagnosed with Stevens Johnson Syndrome which evolved into toxic epidermal necrolysis (Lyell's syndrome) possibly triggered by drug use. Conclusion: The use of drugs incorrectly or irrationally can have serious consequences such as: allergic reactions, dependence and even death. Among the most frequent risks to the health of those who are used to self-medicating are the danger of intoxication and resistance.