Toxic Epidermal Necrolysis Post COVID-19 Vaccination - First Reported Case

被引:32
作者
Bakir, Mohamad [1 ]
Almeshal, Hanan [2 ]
Alturki, Rifah [2 ]
Obaid, Sulaiman [2 ]
Almazroo, Areej [2 ]
机构
[1] Alfaisal Univ, Coll Med, Dept Med & Surg, Riyadh, Saudi Arabia
[2] Prince Mohammed Bin Abdulaziz Hosp, Dept Dermatol, Riyadh, Saudi Arabia
关键词
toxic epidermal necrolysis; vaccination; covid-19; stevens-johnson-syndrome; etanercept; case report; STEVENS-JOHNSON-SYNDROME;
D O I
10.7759/cureus.17215
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) is a spectrum of acute, delayed-type hypersensitivity reactions that affect the skin and the mucous membranes. Medications are the culprit cause of these disorders in addition to infections and in very rare instances vaccinations. We report a case of TEN in a 49-year-old woman with no previous medical history. The disorder developed one week after receiving the first dose of COVID-19 vaccine with no other identifiable causes. The patient received two doses of tumor necrosis factor-alpha inhibitor (etanercept) and she stopped developing new lesions after two days of the initial dose; complete healing was observed after 22 days and no side effects were observed in our patient. This case demonstrates an extremely rare complication to the COVID-19 vaccine. The benefits of receiving the COVID-19 outweigh the potential risk.
引用
收藏
页数:10
相关论文
共 19 条
  • [1] Stevens-Johnson syndrome and toxic epidermal necrolysis after vaccination: Reports to the vaccine adverse event reporting system
    Ball, R
    Ball, LK
    Wise, RP
    Braun, MM
    Beeler, JA
    Salive, ME
    [J]. PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2001, 20 (02) : 219 - 223
  • [2] Chahal D, 2018, Dermatol Online J, V24
  • [3] COVID-19 vaccine-induced Stevens-Johnson syndrome
    Dash, S.
    Sirka, C. S.
    Mishra, S.
    Viswan, P.
    [J]. CLINICAL AND EXPERIMENTAL DERMATOLOGY, 2021, 46 (08) : 1615 - 1617
  • [4] Toxic epidermal necrolysis following morbilli-parotitis-rubella vaccination
    Dobrosavljevic, D
    Milinkovic, MV
    Nikolic, MM
    [J]. JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY, 1999, 13 (01) : 59 - 61
  • [5] Stevens-Johnson syndrome post second dose of Pfizer COVID-19 vaccine: a case report
    Elboraey, Mohamed Omar
    Essa, Emad El Said Fahim
    [J]. ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY, 2021, 132 (04): : E139 - E142
  • [6] The management of toxic epidermal necrolysis
    Fernando, Suran L.
    [J]. AUSTRALASIAN JOURNAL OF DERMATOLOGY, 2012, 53 (03) : 165 - 171
  • [7] Lack of significant treatment effect of plasma exchange in the treatment of drug-induced toxic epidermal necrolysis?
    Furubacke, A
    Berlin, G
    Anderson, C
    Sjöberg, F
    [J]. INTENSIVE CARE MEDICINE, 1999, 25 (11) : 1307 - 1310
  • [8] Is there an association between Stevens-Johnson Syndrome and vaccination? A systematic review
    Grazina, I.
    Mannocci, A.
    Meggiolaro, A.
    La Torre, G.
    [J]. ANNALI DI IGIENE MEDICINA PREVENTIVA E DI COMUNITA, 2020, 32 (01): : 81 - 96
  • [9] Harr T, 2012, CHEM IMMUNOL ALLERGY, V97, P149, DOI 10.1159/000335627
  • [10] Mockenhaupt M, 2012, CHEM IMMUNOL ALLERGY, V97, P1, DOI 10.1159/000335612