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베체트 병으로 오인된 스티븐스 존슨 증후군 1예

A Case of Stevens-Johnson Syndrome Misdiagnosed as Behcet’s Disease

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주제분류이비인후과학

초록

Stevens-Johnson syndrome (SJS) is a rare, but fatal and acute drug-induced cutaneous reaction which presents dramatic, unforgettable manifestations. Though the characteristic features of the disease are well known generally, many clinicians have not experienced a case of SJS frequently, which may result in delay in diagnosis and treatment of it. The authors report a rare case of SJS, which was initially misdiagnosed as Behcet’s disease, with literature review

Abstract

Stevens-Johnson syndrome (SJS) is a rare, but fatal and acute drug-induced cutaneous reaction which presents dramatic, unforgettable manifestations. Though the characteristic features of the disease are well known generally, many clinicians have not experienced a case of SJS frequently, which may result in delay in diagnosis and treatment of it. The authors report a rare case of SJS, which was initially misdiagnosed as Behcet’s disease, with literature review

참고문헌 (12)

  1. Chung WH, "Granulysin is a key mediator for disseminated keratinocyte death in Stevens-Johnson syndrome and toxic epidermal necrolysis", Nat Med, 14(12), pp.1343~1350 (2008)
  2. Brady WJ, "Dermatological emergencies", AM J Emerg Med, 12(2), pp.217~237 (1994)
  3. Gomes ER, "Epidemiology of hypersensitivity drug reactions", Curr Opin Allergy Clin Immunol, 5(4), pp.309~316 (2005)
  4. Patterson R, "Stevens-Johnson syndrome: getting ready for the year 2000 and beyond", Ann Allergy Asthma Immunol, 83(5), pp.339~340 (1999)
  5. Davatchi F, "Diagnostic value of pathergy test in Behcet’s disease according to the change of incidence over the time", Clin Rheumatol, 30(9), pp.1151~1155 (2011)
  6. Ludlam GB, "Association of Stevens-Johnson syndrome with antibody for Mycoplasma pneumoniae", Lancet, 1(7340), pp.958~959 (1964)
  7. Roujeau JC, "Medication use and the risk of Stevens-Johnson syndrome or toxic epidermal necrolysis", N Engl J Med, 333(24), pp.1600~1607 (1995)
  8. Odom RB, "Andrew’s disease of the skin,editors. 9th ed", pp.146~150 (2000), W B Saunders
  9. Ahmet A, "Behcet syndrome", Dermatol Online J, 16(11), pp.18~ (2010)
  10. Alpsoy E, "A randomized, controlled and blinded study of papulopustular lesions in Turkish Behcet’s patients", Int J Dermatol, 37(11), pp.839~842 (1998)
  11. Balabanova M, "A study of the cutaneous manifestations of Behcet’s disease in patients from the United States", J AM Acad Dermatol, 41(4), pp.540~545 (1999)
  12. Stern RS, "Improving the outcome of patients with toxic epi-dermal necrolysis and Stevens-Johnson syndrome", Arch Dermatol, 136(3), pp.410~411 (2000)

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