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Toxic epidermal necrolysis in an infant induced by drug intake through breast milk
oleh: Yeh-Ni Chu, Ming-Sheng Lee, Shun-Cheng Yang, Hui-Chun Tai, Wen-Hung Chung, Tsu-Man Chiu
Format: | Article |
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Diterbitkan: | Wolters Kluwer Medknow Publications 2019-01-01 |
Deskripsi
Stevens–Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are life-threatening severe cutaneous adverse drug reactions, and SJS/TEN in infancy is rare. Here, we present a case of a 4-month-old infant with generalized exanthema, flaccid blisters, and mucosal erosions. He was diagnosed with TEN within 2 days using a granulysin quick screen test and subsequently verified with histopathologic findings. Transmission of cephalexin through breastfeeding was suspected to be a possible cause based on drug history, breastfeeding history, and lymphocyte transformation test. The patient survived with only skin hyperpigmentation remaining.