Evidence map›Paper›PMID 39628963›Full record

ArticleCase reports in critical care2024

A Singular Case Analysis: Lamotrigine-Associated Stevens-Johnson Syndrome.

Albin Joshi, Anjula Palikhe, Santosh Acharya, Puskar Kunwor

Abstract readCase Reports
In one paragraph

Article in Case reports in critical care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Albin JoshiDepartment of Pharmacy, KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal.ORCID https://orcid.org/0009-0005-6684-8770
Anjula PalikheDepartment of Pharmacy, KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal.
Santosh AcharyaDepartment of Critical Care, KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal.ORCID https://orcid.org/0000-0003-2783-0330
Puskar KunworDepartment of Clinical Pharmacy, Nepal Cancer Hospital and Research Center, Harisiddhi, Lalitpur, Nepal.ORCID https://orcid.org/0000-0003-4174-7621

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stevens-Johnson syndrome and toxic epidermal necrolysis (SJS/TEN) is an immune complex-mediated hypersensitivity reaction linked as an adverse side effect to many drugs. There have been case reports of similar incidences in Nepal related to various medications. Here, we present a case of a 29-year-old lady who developed a generalized erythematous rash over her body and erosion of the oral mucous membrane. Two weeks back she gave a history of initiation of lamotrigine, olanzapine, and sertraline. Given the strong association between SJS and lamotrigine, and the usual presentation being within the first 8 weeks of exposure to susceptible medications; she was diagnosed as SJS/TEN induced by lamotrigine. On April 1, 2024, she was admitted to the ICU at KIST MCTH. All the medicines were withheld, and she was managed with corticosteroids and antihistamines. She improved significantly within 7 days. Early identification of SJS, discontinuation of triggering medicines, and prompt initiation of supportive therapy improved the prognosis.

Indexed as

adverse drug reaction (ADR)antiepileptic drugscase reportlamotrigineStevens–Johnson syndrome (SJS)toxic epidermal necrolysis (TEN)

Identifiers

PMID39628963
PMCPMC11614506

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.