STEVEN JOHNSON SYNDROME, AN UNUSUAL CLINICAL EXPERIENCE, A CASE REPORT

Abstract

Objective: Steven Johnson syndrome is a rare, life threatening disorder characterized by skin condition with bullous formation, ocular lesions; genital and anal lesions/ulcers.It’s usually a reaction to a medication or an infection. Often, Stevens-Johnson syndrome begins with flu-like symptoms, followed by a painful red or purplish rash that spreads and blisters. Then the top layer of the affected skin dies and sheds. This case report is about maxillofacial management of a 26 year old female patient came to the emergency of Abbasi Shaheed Hospital with compromised breathing, severe skin lesions with bullous formation and conjunctivitis. Initial diagnosis of Steven Johnson Syndrome was made and the patient was admitted in ICU and put on ventilator for 02 days. This case report elaborates the role of misuse of drugs mostly antibiotics/anti-virals given to common ailments like fever, sore throat, and fatigue which may result in life threatening disorder like Steven Johnson Syndrome as in this case where she received intra venous medicine (un-known) from local General Practitioner. Regular follow-up revealed marked improvement and resolution of oral, genital and skin lesions.