The role of treatment with plasma exchange therapy in two pediatric toxic epidermal necrolysis cases related to COVID-19


VAROL F., Can Y. Y., Sahin E., Durak C., Kilic A., ŞAHİN C., ...Daha Fazla

Journal of Clinical Apheresis, cilt.37, sa.5, ss.516-521, 2022 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 37 Sayı: 5
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1002/jca.21997
  • Dergi Adı: Journal of Clinical Apheresis
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.516-521
  • Anahtar Kelimeler: COVID-19, plasma exchange, toxic epidermal necrolysis
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are life-threatening mucocutaneous reactions characterized by necrosis and detachment of the epidermis. Drugs and bacterial or viral infections are the most common causes of SJS/TEN. Although cases of SJS/TEN have been reported after hydroxychloroquine, vaccine (mRNA [Biontech], and inactivated vaccine [Sinovac]) administration and during the clinical course of active Coronavirus disease 2019 (COVID-19), limited data is indicating the COVID-19 disease as a triggering factor. Also, there are no pediatric cases of SJS/TEN associated with COVID-19 in the literature. Herein we reported two pediatric cases with a diagnosis of TEN related to COVID-19. Therapeutic plasma exchange therapy was applied to both of our patients. Although there are a few adult cases in the literature, our article is the first pediatric case report about patients diagnosed with TEN related to COVID-19 and successfully treated with plasma exchange.