Toxic epidermal necrolysis. Report of one case treated with intra venous immunoglobulins

We report a 27 years old homosexual male with AIDS that was admitted to the ICU dehydrated, with fever and severe malaise. He had irregular bullae, an extensive pupuric exanthema and a zone of epidermic detachment in the righ t arm. A toxic epidermal necrolysis was diagnosed and therapy with i.v. imm unoglobulins was started. After four days of treatment, bullous lesions dis appeared and the extension of exanthema decreased. Toxic epidermal necrolys is is a potentially fatal disease and the use of intravenous immunoglobulin s for this condition has been reported as successful (Rev Med Chile 2000; 1 28: 1343-48).