Internal Medicine: Open Access
Open Access

Myrelis Miranda

Publications

• Case Report
  An Uncommon Dermatologic Emergency Caused by a Commonly Prescribed Drug
  Author(s): Samayra Miranda Rodriguez, José Betancourt, Francisco Fernández, Myrelis Miranda, Coromoto Palermo and José Hernan Martínez Samayra Miranda Rodriguez, José Betancourt, Francisco Fernández, Myrelis Miranda, Coromoto Palermo and José Hernan Martínez
  
  Seventy six years old man with history of arterial hypertension and gout brought to the emergency room due to pruritic maculopapular rash starting two days before admission. First noted at his back, then progressively distributed throughout the body. He was taking allopurinol for gout. Physical exam revealed an acutely ill patient, somnolent, but oriented in 3 spheres. Vital signs showed tachycardia, tachypnea, and borderline low arterial blood pressure. He had swelling of tongue, lips, eyelids, as well as oral ulcers. His condition deteriorated with skin detachment of 90% of surface area. Also presented altered mental status and hypoxemia requiring endotracheal intubation. Intravenous gammaglobulin was administered as well as 6 liters of intravenous fluids. Skin wounds were covered with appropriate dressing, and he was transferred to Intensive Care Unit. The patient was diagnosed wit.. View More»
  DOI: 10.4172/2165-8048.1000121

  Abstract PDF

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