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중독성 표피 괴사융해증에서 고용량 면역 글로불린 정맥주사의 치료효과에 대한 고찰
김경진(Kyoung Jin Kim),지민선(Min Sun Jee),한만회(Man Heui Han),최지호(Jee Ho Choi),성경제(Kyung Jeh Sung),문기찬(Kee Chan Moon),고재경(Jai Kyoung Koh) 대한피부과학회 2002 대한피부과학회지 Vol.40 No.7
N/A Background : Toxic epidermal necrolysis(TEN) is the most dramatic and life-threatening cutaneous drug reaction. However, specific and effective treatment for TEN have not yet been identified. Recently several reports suggested that high dose intravenous immunoglobulin(Ⅳ Ig) treatment has produced good results in patients with TEN. Objective : To analyze the efficacy and side effects of Ⅳ Ig in treatement of TEN. Methods : Ten patients with clinicopathological diagnosis of TEN were treated with IV Ig(1.6-3.4g/㎏), and clinical efficacy and side effects were observed. Results : Nine patients were healed and one died of sepsis. Interruption of further epidermal detachment occurred after an average 3 days from the onset of Ⅳ Ig therapy. Complete wound healing occurred after an average of 14.3 days. The side effects of Ⅳ Ig including headache, myalgia, nausea, transient neutropenia, and coombs positive hemolytic anemia were observed in 4 patients but normalized after cessation of Ⅳ Ig therapy. Three of them showed complete healing of detached skin but died with aggravation of underlying disease. Conclusion : Ⅳ Ig therapy represents a safe and very effective treatment for TEN. Furthermore, intensive care for underlying diseases is also very important for reducing the mortality rate in patients with TEN.