Case Report
Toxic epidermal necrolysis and its impact on physiotherapy management: a case report
South African Journal of Physiotherapy | Vol 66, No 2 | a65 |
DOI: https://doi.org/10.4102/sajp.v66i2.65
| © 2010 J. Schneiderman, H. Van Aswegen, R. Roos
| This work is licensed under CC Attribution 4.0
Submitted: 06 January 2010 | Published: 06 January 2010
Submitted: 06 January 2010 | Published: 06 January 2010
About the author(s)
J. Schneiderman, Private PractitionerH. Van Aswegen, University of the Witwatersrand
R. Roos, University of the Witwatersrand
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PDF (456KB)Abstract
The purpose of this paper is to report on the modified physiotherapy intervention for toxic epidermal necrolysis (TEN) in a 31 year old pregnant human immunodeficiency virus (HIV) seropositive woman on antiretroviral therapy. Physiotherapy intervention consisted of nebulisation and the active cycle of breathing technique in order to clear secretions. To restore lung volumes, the active cycle of breath-ing technique was utilized in addition to positive expiratory pressure, incentive spirometry and positioning. Passive and active exercises and stretches were employed to maintain and regain range of motion in affected limbs. Following intervention, positive changes were noted in outcome measures such as secretion clearance, breath sounds and general function. It is concluded that physiotherapy intervention has a role to play in the rehabilitation of patients with TEN.
Keywords
stevens-johnson syndrome; toxic epidermal necrolysis; antiretro-viral therapy; physiotherapy
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