PMC6079558_01
Facial and lip swelling along with conjunctivitis of the eyes in toxic epidermal necrolysis (initial presentation).
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There were conjunctivitis and turbid corneal in the bilateral eyes (not shown), ulceration of the mouth, and swollen lips (Figure 1).
The patient's skin changes of the trunk and extremities with sloughing of the epidermis (during hospitalization). Hemorrhagic blisters evolved within days of usual treatment.
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After 2 days of hospitalization, his skin lesions did not show improvement.In turn, skin change progressions rapidly extended from 32% at hospital admission to 62% of BSA involved with 16% in grade I and 46% in grade II hemorrhagic blisters (Figure 2).
The photograph of skin lesions after 3 treatment sessions of TPE; it was taken 1 day before hospital discharge.
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Rapid reepithelization occur by 1 week of the introduction of TPE (Figure 3).The patient made an uneventful recovery, and he was discharged home in 8 days of hospitalization with good condition.