Diagnostic Dilemma of Widespread Vesiculobullous Lesions: A Case Report

Authors

  • Nisha Khadka Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal https://orcid.org/0000-0003-0580-377X
  • Subij Shakya Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
  • Dikshya Khatiwada Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal https://orcid.org/0000-0003-4843-1048
  • Pravash Budhathoki Department of Internal Medicine, Bronx Lebanon Hospital, USA
  • Tulsi Ram Bhattarai Department of Internal Medicine, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal

DOI:

https://doi.org/10.31729/jnma.7118

Keywords:

case report; cutaneous lupus erythematosus; rheumatology; stevens-johnson syndrome.

Abstract

Stevens-Johnson syndrome and toxic epidermal necrolysis represent a spectrum of severe mucocutaneous reactions, while Acute Cutaneous Lupus Erythematosus is a variant of Systemic Lupus Erythematosus. Both are rare conditions, with significant morbidity and mortality; often indistinguishable clinically and pose a diagnostic dilemma for the clinician. We hereby present a unique case of a 17 years old female who presented with widespread vesiculobullous lesions with peeling, desquamation, and crusting of the skin surface, non-scarring alopecia, oral and nasal ulcers, as well as two episodes of generalized tonic-clonic seizures. The patient had a history of intake of itraconazole tablets for a week, 25 days before the disease manifestation.

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Published

2022-01-15

How to Cite

Khadka, N., Shakya, S., Khatiwada, D. ., Budhathoki, P. ., & Bhattarai, T. R. (2022). Diagnostic Dilemma of Widespread Vesiculobullous Lesions: A Case Report. Journal of Nepal Medical Association, 60(245), 86–89. https://doi.org/10.31729/jnma.7118

Issue

Vol. 60 No. 245 (2022): JNMA: Published Monthly

Section

Case Reports

License

Copyright (c) 2022 Nisha Khadka, Subij Shakya, Dikshya Khatiwada, Pravash Budhathoki, Tulsi Ram Bhattarai

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