Stevens Johnson Syndrome Case Study

Germs causing impetigo can invade normal skin, but can also take advantage of skin that has already been damaged by cuts or grazes, insect bites, head lice, scabies, cold sores, or eczema.

The working diagnosis is that this patient is suffering from Angioedema as a result of Anaphylaxis and developing Urticaria. Angioedema is the swelling of deep layers of the skin due the accumulation of fluid, symptoms of Angioedema include swelling of the eyes, lips, hands and feet.

HEENT are basically unrevealing. Temp in the office today is 98.4. The outer area of the mouth extending into the chin reveals macules, vesicles, copious purulent exudate forming honey- colored crust on a erythematous base. Skin on trunk, arms and legs is clear. No other symptomology

Impetigo is extremely contagious, and can easily spread to another person if the fluid from the blisters comes in contact with an open area on their skin (PubMed Health. 2010). In Timothy’s preschool it could be spread from some of the fluid getting on toys, furniture or even hands, and then coming into contact with another child. Children like Timothy are more at risk of developing impetigo, especially if their skin has already been injured y cuts or abrasions, irritated or by having skin problems like eczema (Department of Health – Victoria, 2007).

Patient denies history of skin disease. Reports two serious sun burns while swimming and not re-applying sun screen. Reports occasional dryness of skin during the winter. Denies any

It can develop on normal skin, or skin that has an existing dermatitis, such as eczema. A patient may be more likely to develop impetigo if the skin has already been irritated by other skin problems, poison ivy, insect bites, and cuts or scrapes. Impetigo can be found in one localized spot on the body, or can be widespread on the body. It is a very infectious disease, and it is spread through direct contact. You can get it by touching someone who has it, or by an improperly cleaned surface. Impetigo may also leave ulcers on the skin. A less common form of impetigo, called bullous impetigo, may feature larger blisters that occur on the trunk or diaper area of infants and young children. A more serious form of impetigo, called ecthyma, penetrates deeper into the skin and causes painful fluid filled sores that may turn into deep

Johnson-Munson syndrome is a rare syndrome identified by missing abnormal vertebrae, fingers and toes and various deformities of the heart, lungs, intestines, pancreas and intestines. Ophanet a consortium of European partners defines a condition as rare. In the US population, less than 200,000 people can possibly be affected by Johnson Munson Syndrome or second type of Johnson Munson syndrome. (Orphanet 2015)

SJS and TEN are severe mucocutaneous reactions, most commonly triggered by medications, characterized by extensive necrosis and detachment of the epidermis. The two conditions are distinguished based on severity, which is scaled by evaluating the percentage of body surface area involved in the blisters and erosions. SJS is the less severe and more common condition with 30% of the body surface with mucous membranes involved in the majority of cases. The mucous membranes were not involved in this patient making SJS and TEN less likely. However, the mortality rate for SJS is 10% and TEN is 30%, which is why it was important to rule out these conditions before sending the patient home. Although SJS and TEN are usually triggered by medications, one study showed that approximately 20-25% of pediatric cases could not be clearly attributed to a drug. While this patient’s history does not indicate any new medications, we cannot simply rule out the possibility of SJS or TEN for that

Erythema Infectiosum is called fifth disease. It is a mild illness caused by a virus. This virus most commonly occurs in children. The disease usually causes a bright red rash that appears on both cheeks. The rash has a "slapped cheek" appearance. Before the rash, the patient usually has a low-grade fever, mild upper respiratory symptoms, and a headache. One to three days after the cheek rash appears, a pink, lacy rash appears on the body, arms, and legs. This rash may come and go for up to 5 weeks. It often gets brighter following warm baths, exercise, and sun exposure. Your child may have no other symptoms or only a slight runny nose, sore throat, and very low fever. Complications are rare. This illness is quite

There are many different types of syndromes and disease in the world today. Steven Johnson is one of them. This Syndrome is a very rare disorder in the world today. Many persons do not have a clue in which what this serious is or/and why it occurs. The Steven Johnson syndrome is a disorder of someone’s skin or mucous infection. This occurs when the persons take medication(s) that they are possibly is allergic to. It’s really not the medication but it’s like the medication is fighting off some good cells in the body. Steven Johnson Syndrome is a very serious syndrome or infection. It requires hospitalization and serious care.

Recurrent erythema multiforme (EM) is an uncommon skin condition with unclear etiology considered to be a hypersensitivity reaction presenting commonly in young adults with distinctive targetoid skin lesions with or without mucosal lesions. These cases are typically treated with antiviral therapies or immunosuppressive agents in more extreme cases. We present a case of recurrent EM in a young adult that resolved completely after treatment with Otezla (apremilast), an oral medication originally developed for the treatment of psoriasis and psoriatic arthritis.

Also, impetigo can be transferred to another area of the body through scratching and rubbing the already

History of Present Illness (HPI): The child’s mother reports that a rash started under the buttocks, the rash was erythematous and vesiculated. The rash had spread to the palms of his hands and soles of his feet. The vesicles and ulcers were also located on the buccal mucosa. Very happy and non-distressed child. He had no other associated symptoms, he was able to eat and drink.

All eczemas have some features in common and there is a spectrum of clinical presentation from acute through to chronic. Vesicles or bullae may appear in the acute stage if inflammation is intense. In subacute eczema the skin can be dry and flaky, crusted that crust over to become scaly, itchy rashes ( especially if secondarily infected). Chronic persistent eczema characterized by thickened or lichenified

It is an infection caused by pathogens such as viruses, but more likely bacteria, especially when children are getting sick. In particular, the "responsible" is the number one affection Streptococcus, to be defeated, as we shall see in a moment, with the right