{"title":"眼睑结膜炎是史蒂文斯-约翰逊综合征的表现","authors":"P. Surya, N. N. Sunariasih","doi":"10.33086/mhsj.v5i2.2189","DOIUrl":null,"url":null,"abstract":"Background: Stevens Johnson syndrome (SJS) is a collection of acute and life threatening skin symptoms caused by an allergic drug reaction. SJS also attacks the other mucous membranes, one of which is the eye. SJS is a rare case. The initial complaint of SJS is the eruption on the skin in the form of redness followed by blisters and attacking other mucous membranes. The ocular manifestations of SJS are conjunctivitis, corneal erosion, corneal ulcers, and blepharitis.\nMethods: Treatment of SJS’s ocular manifestation is administration of drugs and surgical intervention. Administration of drugs that often done in the acute phase is antibiotic eye drops with steroids to prevent complications. Complications that can occur include symblepharon, districhiasis, and keratitis. This complication can cause a sharp decrease in vision.\nResults: This case report discusses a 68 year old male patient with blisters all over his body accompanied by swelling in both eyes, redness in both eyes, and difficult to open eyes. Patients with history of taking the new drug a month ago. No history of drug allergy. The patient suffered from hypertension, non-hemorrhagic stroke, and epilepsy with irregular treatment. Patient was performed a fluorescein test. In this case, the patient is given antibiotic ointment and artificial tears with steroids. In this case there were no complications.\nConclusion: The ocular manifestations of SJS if handled quickly and properly can prevent long-term complications.","PeriodicalId":18554,"journal":{"name":"Medical and Health Science Journal","volume":"13 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Blepharoconjunctivitis as Manifestation of Stevens-Johnson syndrome\",\"authors\":\"P. Surya, N. N. Sunariasih\",\"doi\":\"10.33086/mhsj.v5i2.2189\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Stevens Johnson syndrome (SJS) is a collection of acute and life threatening skin symptoms caused by an allergic drug reaction. SJS also attacks the other mucous membranes, one of which is the eye. SJS is a rare case. The initial complaint of SJS is the eruption on the skin in the form of redness followed by blisters and attacking other mucous membranes. The ocular manifestations of SJS are conjunctivitis, corneal erosion, corneal ulcers, and blepharitis.\\nMethods: Treatment of SJS’s ocular manifestation is administration of drugs and surgical intervention. Administration of drugs that often done in the acute phase is antibiotic eye drops with steroids to prevent complications. Complications that can occur include symblepharon, districhiasis, and keratitis. This complication can cause a sharp decrease in vision.\\nResults: This case report discusses a 68 year old male patient with blisters all over his body accompanied by swelling in both eyes, redness in both eyes, and difficult to open eyes. Patients with history of taking the new drug a month ago. No history of drug allergy. The patient suffered from hypertension, non-hemorrhagic stroke, and epilepsy with irregular treatment. Patient was performed a fluorescein test. In this case, the patient is given antibiotic ointment and artificial tears with steroids. In this case there were no complications.\\nConclusion: The ocular manifestations of SJS if handled quickly and properly can prevent long-term complications.\",\"PeriodicalId\":18554,\"journal\":{\"name\":\"Medical and Health Science Journal\",\"volume\":\"13 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-08-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medical and Health Science Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.33086/mhsj.v5i2.2189\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical and Health Science Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33086/mhsj.v5i2.2189","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
摘要
背景:史蒂文斯·约翰逊综合征(Stevens Johnson syndrome, SJS)是由药物过敏反应引起的一系列急性和危及生命的皮肤症状。SJS也会攻击其他粘膜,其中之一就是眼睛。SJS是一种罕见的病例。SJS的最初症状是以皮肤发红的形式出现,随后出现水泡和攻击其他粘膜。SJS的眼部表现为结膜炎、角膜糜烂、角膜溃疡和眼睑炎。方法:SJS眼部表现的治疗方法为药物治疗和手术干预。通常在急性期使用的药物是抗生素滴眼液和类固醇,以防止并发症。可能发生的并发症包括睑粘连、睑区病和角膜炎。这种并发症会导致视力急剧下降。结果:本病例报告讨论了一名68岁男性患者,全身水疱,双眼肿胀,双眼发红,难以睁眼。一个月前服用过新药的患者。无药物过敏史。患者患有高血压、非出血性中风和癫痫,治疗不规范。对患者进行荧光素试验。在这种情况下,患者被给予抗生素软膏和含有类固醇的人工泪液。在这种情况下,没有并发症。结论:SJS的眼部表现如处理得当,可预防远期并发症的发生。
Blepharoconjunctivitis as Manifestation of Stevens-Johnson syndrome
Background: Stevens Johnson syndrome (SJS) is a collection of acute and life threatening skin symptoms caused by an allergic drug reaction. SJS also attacks the other mucous membranes, one of which is the eye. SJS is a rare case. The initial complaint of SJS is the eruption on the skin in the form of redness followed by blisters and attacking other mucous membranes. The ocular manifestations of SJS are conjunctivitis, corneal erosion, corneal ulcers, and blepharitis.
Methods: Treatment of SJS’s ocular manifestation is administration of drugs and surgical intervention. Administration of drugs that often done in the acute phase is antibiotic eye drops with steroids to prevent complications. Complications that can occur include symblepharon, districhiasis, and keratitis. This complication can cause a sharp decrease in vision.
Results: This case report discusses a 68 year old male patient with blisters all over his body accompanied by swelling in both eyes, redness in both eyes, and difficult to open eyes. Patients with history of taking the new drug a month ago. No history of drug allergy. The patient suffered from hypertension, non-hemorrhagic stroke, and epilepsy with irregular treatment. Patient was performed a fluorescein test. In this case, the patient is given antibiotic ointment and artificial tears with steroids. In this case there were no complications.
Conclusion: The ocular manifestations of SJS if handled quickly and properly can prevent long-term complications.