TY - JOUR PY - 2015// TI - Paraquat poisoning followed by toxic epidermal necrolysis: a report of two cases and published work review JO - Dermatology: international journal for clinical and investigative dermatology A1 - Xu, Wei A1 - Wang, Liya A1 - Wang, Qiang A1 - Li, Xin-Hua A1 - Hu, Dayong A1 - Li, Changbin A1 - Wu, Tianfu A1 - Mohan, Chandra A1 - Peng, Ai A1 - Shi, Yuling SP - 209 EP - 212 VL - 231 IS - 3 N2 - Toxic epidermal necrolysis (TEN) is a life-threatening, typically drug-induced, mucocutaneous disease. Whether paraquat, one of the most widely used herbicides, could induce TEN is not known. We describe 2 paraquat-poisoned patients with TEN. Both patients presented erythema after hospital discharge following initial paraquat poisoning and then developed a widespread eruption of diffuse erythema on almost the whole body, with bullae, epidermal necrosis and sloughing. They were successfully treated with intravenous immunoglobulin and methylprednisolone. These clinical features were consistent with TEN caused by medications with a high risk to induce Stevens-Johnson syndrome/TEN. Moreover, it is suggested that both skin exposure and ingestion of paraquat could induce TEN. To our knowledge, this is the first case report of TEN related to paraquat poisoning. © 2015 S. Karger AG, Basel.
Language: en
LA - en SN - 1018-8665 UR - http://dx.doi.org/10.1159/000433578 ID - ref1 ER -