Open AccessAceclofenac induced Stevens-Johnson/toxic epidermal necrolysis overlap syndrome
Author(s) -
Kaderthambi Hajamohideen Nooru Ameen,
Rakesh Pinninti,
Jami Swathi
Publication year - 2013
Publication title -
journal of pharmacology and pharmacotherapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.301
H-Index - 34
eISSN - 0976-5018
pISSN - 0976-500X
DOI - 10.4103/0976-500x.107691
Subject(s) - toxic epidermal necrolysis , aceclofenac , medicine , rash , dermatology , adverse effect , adverse drug reaction , drug , population , presentation (obstetrics) , drug reaction , surgery , pharmacology , chemistry , environmental health , chromatography
The purpose of this paper is to report a rare occurrence of Stevens-Johnson/Toxic epidermal necrolysis (SJS/TEN) overlap syndrome after the use of aceclofenac. A 38 year old healthy adult male presented with rapidly evolving rash over face and upper body with ulceration of buccal mucosa and breathlessness after taking aceclofenac tablet. Naranjo score for this adverse drug event was six, thereby making it a probable adverse drug reaction. Despite aggressive fluid resuscitation and use of antihistamines and systemic steroids, patient's health rapidly worsened and died within six hours of presentation. Aceclofenac induced SJS/TEN overlap is an extremely rare clinical association previously reported only once in medical literature. To the best of our knowledge, this is the first case report of such an association in the Indian population. We are presenting this case to highlight the serious adverse reactions possible from a routinely prescribed drug.