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Published on: April 11, 2019
Stevens - johnson syndrome induced by sodium valproate
P N Suresh Kumar1, S Kishore Kumar
1Director, Institute of Mental Health & Neurosciences, Kozhikode-673016.
Sodium valproate, used for manic episodes, can cause Stevens-Johnson syndrome (SJS), a severe skin reaction. Prompt treatment with steroids and supportive care led to recovery in this case.
Area of Science:
- Pharmacovigilance
- Dermatology
- Neuropsychiatry
Background:
- Stevens-Johnson syndrome (SJS) is a rare but serious adverse drug reaction.
- Sodium valproate is a commonly prescribed anticonvulsant and mood stabilizer.
Purpose of the Study:
- To report a case of SJS following sodium valproate treatment.
- To highlight the potential for severe cutaneous reactions to sodium valproate.
Main Methods:
- Case report of a 55-year-old male treated for a manic episode.
- Clinical observation of cutaneous manifestations consistent with SJS.
- Review of treatment protocols and patient outcomes.
Main Results:
- The patient developed SJS after two weeks of sodium valproate therapy.
- Treatment included systemic steroids, antihistamines, and topical calamine lotion.
- Complete recovery from SJS occurred within a few weeks.
Conclusions:
- Sodium valproate can precipitate Stevens-Johnson syndrome.
- Early recognition and management are crucial for favorable outcomes in SJS.
- This case underscores the importance of monitoring for adverse cutaneous reactions during valproate therapy.
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