A CASE REPORT OF TOXIC EPIDERMAL NECROLYSIS CAUSED BY CARBAMAZEPINE Authors: Raulji A , CHANIYARA H*, TANDEL D AND KAKADIYA J
ABSTRACT
Rare skin responses that can be fatal include toxic epidermal necrolysis (TEN) and Stevens-
Johnson syndrome (SJS), which are frequently brought on by specific drugs. All age groups
are affected, although those with HIV, autoimmune illnesses, immunocompromised patients,
and those with underlying malignancies are more severely affected. SJS and TEN are signs of
a medication reaction, and carbamazepine is frequently to blame. The most frequently
implicated medicines in Southeast Asia were all carbamazepine-related. According to data
from the Food and Drug Administration, carbamazepine and allopurinol were the second- and
third-most popular medications in the Philippines, respectively. Phenytoin. Purpuric macules,
target-like lesions, skin detachment, and a blistering exanthema with fast development are the
hallmarks of SJS and TEN. Oxcarbazepine (OXC) cross-sensitivity was present in around
25–33% of patients with Carbamazepine (CBZ) hypersensitivity, while CBZ hypersensitivity
was present in about 27%–70% of patients with OXC hypersensitivity.
Keywords: Carbamazepine, Epidermal necrolysis Publication date: 01/11/2023 https://ijbpas.com/pdf/2023/November/MS_IJBPAS_2023_7547.pdfDownload PDFhttps://doi.org/10.31032/IJBPAS/2023/12.11.7547