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- Title
Missed Diagnosis of Epilepsy-Associated Scald Burns: Two Cases Initially Diagnosed as Bullous Dermatosis.
- Authors
Giraud-Kerleroux, Laura; Charpentier, Chloé; Bernigaud, Charlotte; Ortonne, Nicolas; Hua, Camille; Gaudron, Sophie; Nguyen, Quang Tuan Rémy; Chosidow, Olivier; Wolkenstein, Pierre; Ingen-Housz-Oro, Saskia
- Abstract
Thermal burns can occur during seizure. This diagnosis can be difficult in case of atypical lesions, even more if the epilepsy is unknown and in case of seizures with loss of consciousness and/or an unwitnessed epileptic attack. We report two cases of cutaneous bullous lesions initially misdiagnosed as severe acute cutaneous adverse reactions (generalized bullous fixed drug eruption and Stevens-Johnson syndrome). In the two cases, the clinical aspect, necrotic evolution, and absence of obvious attributable medication allowed to revert to the diagnosis of burns due to boiling water revealing previously unknown epilepsy. For both, surgical management with skin graft was performed, and antiepileptic treatment was introduced. Facing unexplained burns, occult epilepsy should be investigated. Questioning of patient and relatives is crucial.
- Subjects
DIAGNOSTIC errors; DRUG eruptions; EPILEPSY; BLISTERS; STEVENS-Johnson Syndrome; SKIN grafting; LOSS of consciousness
- Publication
Journal of Burn Care & Research, 2021, Vol 42, Issue 3, p569
- ISSN
1559-047X
- Publication type
journal article
- DOI
10.1093/jbcr/iraa184