Document Detail


Plasma exchange in patients with toxic epidermal necrolysis.
MedLine Citation:
PMID:  12109948     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe our experience with plasma exchange (PE) therapy in 13 patients with drug-induced toxic epidermal necrolysis (TEN), 4 of whom had malignant disorders. Skin lesions covered 17% to 100% of total body surface area and 1 to 4 mucous membranes were involved. None of the patients was hospitalized in a burn unit. The patients underwent from 2 to 5 PE sessions (mean 3.4 +/- 0.2 standard error of mean [SEM], median 3) exchanging 6.6 to 17.6 L of plasma (mean 10.1 +/- 0.7 SEM, median 10). PE sessions were carried out every other day in 8 patients and daily in 5. Three patients died (23%) while the remaining 10 (77%) had a full recovery. Plasmapheresis may be an effective treatment in patients with drug-induced TEN hospitalized outside a burn unit.
Authors:
Gerasimos Bamichas; Taisir Natse; Fotini Christidou; Maria Stangou; Anna Karagianni; Sotiris Koukourikos; Georgios Chaidemenos; Fotis Chrysomallis; Kostas Sombolos
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Therapeutic apheresis : official journal of the International Society for Apheresis and the Japanese Society for Apheresis     Volume:  6     ISSN:  1091-6660     ISO Abbreviation:  Ther Apher     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-07-11     Completed Date:  2002-08-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9706703     Medline TA:  Ther Apher     Country:  United States    
Other Details:
Languages:  eng     Pagination:  225-8     Citation Subset:  IM    
Affiliation:
Renal Unit, General Hospital G. Papanikolaou, Aristotele University of Thessaloniki, Greece.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Epidermal Necrolysis, Toxic / therapy*
Female
Humans
Male
Middle Aged
Plasma Exchange*
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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