By Luke Andrews Senior Health Reporter For Dailymail.Com
18:17 15 Apr 2024, up to date 18:19 15 Apr 2024
A girl who took ibuprofen for her flu-like signs suffered a horrific response that induced purple and swollen eyes and snake-like scales on her face.
The 45-year-old affected person had taken the over-the-counter painkiller simply hours earlier — and likewise had an odd yellow crust on her lips and extreme swelling of her face.
She was rushed to hospital in Iraq, and recognized with a vanishingly uncommon extreme antagonistic response to ibuprofen known as Stevens-Johnson Syndrome.
This occurs when the immune system over-reacts to a set off, comparable to a drug, inflicting excessive ranges of irritation and main it to attack the physique’s personal cells, together with these within the pores and skin — inflicting blistering and swelling.
The affected person was despatched to the ICU the place she had a tube put down her throat to manage fluids, obtained an IV drip and was prescribed a course of antibiotics.
Doctors saved her within the ward for seven days till the swelling started to subside and no new rashes emerged.
She had by no means suffered the response from ibuprofen earlier than, and it was unclear whether or not the girl — who had no underlying diseases — had suffered any long-term results from the response.
Revealing the uncommon case in Clinical Case Reports, the docs mentioned: ‘Ibuprofen… has lengthy been a stalwart within the realm of ache reduction and irritation administration.
‘However, behind its commonplace presence in medication cupboards, there lies a possible peril that, although uncommon, calls for our consideration and understanding.’
They added: ‘While ibuprofen is usually secure, the uncommon incidence of extreme reactions comparable to SJS serves as a reminder that no remedy is fully with out danger.’
Americans take an estimated 30 billion doses of over-the-counter or prescription painkillers comparable to ibuprofen yearly, with the overwhelming majority having no reactions.
Only in extraordinarily uncommon circumstances are severe reactions comparable to SJS are recorded — with 847 circumstances within the US linked to ibuprofen since 2004.
Patients are generally hospitalized and in some circumstances can die from the illness.
In the response, the immune system triggers excessive ranges of irritation in opposition to ibuprofen — misidentifying it as a menace.
This could cause issues within the outer pores and skin, which incorporates billions of wholesome cells and a whole lot of blood vessels, which can trigger the outer layer to develop into indifferent in sure locations.
The girl informed docs she had taken two 400mg tablets of ibuprofen earlier than the response.
Tests on her inner organs comparable to her lungs and coronary heart confirmed these had been all functioning usually.
But a pattern taken from her pores and skin revealed that the outer layer had separated from the physique — resulting in the analysis.
Doctors additionally recorded indicators of necrosis, or when wholesome cells begin to die due to a failure within the blood provide.
The girl additionally had no underlying diseases and was a nonsmoker and didn’t eat alcohol.
She was handled by docs at Al Nasiriyah Teaching Hospital in Thi Qar, southern Iraq.