Carbamazepine-Induced Toxic Epidermal Necrolysis Managed by Mobile Teledermatology in COVID-19 Pandemic in Rural Nepal
Joint Authors
Source
Case Reports in Dermatological Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-11-10
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Toxic epidermal necrolysis is a life-threatening dermatological emergency with high mortality if not treated in time.
Here we report a case of toxic epidermal necrolysis due to carbamazepine in rural Nepal in COVID-19 pandemic who was successfully treated with the help of mobile teledermatology.
The clinical impression of toxic epidermal necrolysis was made from “WhatsApp” video calls using a smart phone.
The supportive features were the history of starting of carbamazepine 2 weeks prior for seizure disorder, clinical findings in serial photographs of skin with 40 percent body surface area involvement of necrotic skin lesions and bulla, and involvement of oral mucosa and eyes.
The patient was immediately asked to stop carbamazepine and was treated with intravenous fluids and systemic steroids along with symptomatic management.
As the whole world was suffering from lockdown due to COVID-19 crisis, it was impossible for the rural area patient to visit a dermatologist.
Thus, with the help of paramedics staff in a community health center and mobile teledermatology, the patient was diagnosed as carbamazepine-induced toxic epidermal necrolysis and treated successfully with good outcome.
American Psychological Association (APA)
Paudel, Vikash& Chudal, Deepa. 2020. Carbamazepine-Induced Toxic Epidermal Necrolysis Managed by Mobile Teledermatology in COVID-19 Pandemic in Rural Nepal. Case Reports in Dermatological Medicine،Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1146897
Modern Language Association (MLA)
Paudel, Vikash& Chudal, Deepa. Carbamazepine-Induced Toxic Epidermal Necrolysis Managed by Mobile Teledermatology in COVID-19 Pandemic in Rural Nepal. Case Reports in Dermatological Medicine No. 2020 (2020), pp.1-3.
https://search.emarefa.net/detail/BIM-1146897
American Medical Association (AMA)
Paudel, Vikash& Chudal, Deepa. Carbamazepine-Induced Toxic Epidermal Necrolysis Managed by Mobile Teledermatology in COVID-19 Pandemic in Rural Nepal. Case Reports in Dermatological Medicine. 2020. Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1146897
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146897