posted on 2024-01-10, 17:01authored byChristine M Bourke, Brendan K Cummings, Daire J Hurley, Conor MurphyConor Murphy, Sarah Chamney
Stevens–Johnson syndrome (SJS) and the more severe variant, toxic epidermal necrolysis (TEN), are a spectrum of mucocutaneous reactions with potentially devastating ocular consequences. Ocular complications occur in about 70% of patients with Stevens–Johnson syndrome, and 35% continue with chronic disease. We report an unusual presentation of isolated ocular Stevens–Johnson syndrome in a patient with recently diagnosed ulcerative colitis being treated with Infliximab. The case had an insidious and atypical onset and represented a diagnostic dilemma. The diagnosis was more difficult, due to the fact that the inciting agent had long been stopped. Severe bacterial conjunctivitis such as that caused by Chlamydia Trachomatis, Corynebacterium diphtheria, and Neisseria Gonorrhea can cause forniceal shortening and symblepharon; this diagnosis was ruled out with microbiological swabs. A conjunctival biopsy was the key to diagnosis. Treatment involved high-dose IV steroids and dual immunosuppression with Infliximab and mycophenolate mofetil. We sought to employ interventions with the greatest impacts on our patient’s condition. Our experience contributes to the growing evidence supporting intensive ophthalmic management of SJS to prevent long-term vision loss.
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Data Availability Statement
No new data were created or analyzed in this study. Data sharing is not applicable to this article
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The original article is available at https://www.mdpi.com/
Published Citation
Bourke CM, Cummings BK, Hurley DJ, Murphy CC, Chamney S. Isolated ocular Stevens-Johnson Syndrome caused by lymecycline in a patient with underlying ulcerative colitis. J Clin Med. 2023;12(16):5259.