Generalized Exfoliative Dermatitis Suspected Caused by COVID-19 Vaccine : A Case Report
Authors
Abstract
Introduction: Exfoliative dermatitis (ED) is a skin disorder characterized by the presence of erythema and scaling of the skin involving more than 90% of the total body surface area. One of the main etiologic factor of ED is drug hypersensitivity reaction. Vaccine administration can result in allergic reactions. The aim of this case report is to provide information on one of the forms of allergy to the COVID-19 vaccine, which can be ED. Case: A woman, 61 years old, with complaints of reddish patches accompanied by thickened scales and spread throughout the body accompanied by itching, pain in the skin, experiencing fatigue and chills since 3 days ago before the patient said she had received COVID-19 booster vaccine. The patient was diagnosed with generalised exfoliative dermatitis suspected to be caused by the COVID-19 vaccine. The patient was given therapy with oral methylprednisolone 36 mg/day with tapering if there was improvement, and topical urea 10% cream and hydrocortisone 2.5 % cream (face) and desoxymethasone 0.25 % cream (body). Discussion: ED is more common in men than women, with the highest incidence at the age of 40-60 years. The underlying therapy of ED is to address the aetiology and potential complications. The therapy was corticosteroids at a dose of 1-2 mg/kg/day with tapering, emollients and topical corticosteroids. The patient was given these therapies, showed clinical improvement within 5 weeks of treatment and no side effects. Conclusion: Exfoliative dermatitis can be idiopathic or secondary to drug hypersensitivity including vaccine administration. A complete history including history of drug administration and a thorough physical examination are required so that treatment can be given appropriately.
Similar Articles
- Mohammed Habib, Rosuvastatin Plus N Acetylcysteine to Prevention of Contrast Induced Acute Kidney Injury in Patients with Low Mehran Risk Score , Journal of Society Medicine: Vol. 3 No. 6 (2024): June
- Muhammad Harmen Reza Siregar, Elvita Rahmi Daulay, Refli Hasan, Role of Chest Radiograph in Diagnosis of Acyanotic Congenital Heart Disease , Journal of Society Medicine: Vol. 1 No. 3 (2022): December
- Adhika Syaputra, Dadik Wahyu Wijaya, Achsanuddin Hanafie, Patterns of Antibiotic Use in The One Hour Bundle Treatment of Sepsis , Journal of Society Medicine: Vol. 1 No. 3 (2022): December
- Yudhisman Imran, Ainaya Az Zahra, The Use of NIHSS as an Assessment of Acute Stroke Severity , Journal of Society Medicine: Vol. 3 No. 2 (2024): February
- Dear Mohtar, Erias Erlangga, Management of Dengue Fever and Morbidly Obese in Pregnancy after C-Section , Journal of Society Medicine: Vol. 2 No. 10 (2023): October
- Cut Putri Hazlianda, Ade Gustina Siahaan, Autoimmune Blistering Disease in Children , Journal of Society Medicine: Vol. 2 No. 11 (2023): November
- Monica Tampubolon, Kiki M. Iqbal, R. A. Dwi Pujiastuti, Osmolarity Changes after Mannitol Administration in Cerebral Edema Patients , Journal of Society Medicine: Vol. 2 No. 7 (2023): July
- Qadri Fauzi Tanjung, Agus Prima, History of Cuppping in Medical Perspective , Journal of Society Medicine: Vol. 1 No. 1 (2022): October
- Natassya Sandra Tillasman, Putu Pradnyasanti Laksmi, Ratna Rayeni Natasha Roosseno, Agus Roy Rusly Hariantana Hamid, Literature Review for Iliaca, Scapula, and Fibula Free Flap as A Modality in Mandibular Ameloblastoma Reconstruction , Journal of Society Medicine: Vol. 3 No. 6 (2024): June
- Dion Ricardo, Achsanuddin Hanafie, Tasrif Hamdi, Comparison of Oxytocin 10 IU Intravena Dilution of 10 ml Nacl 0.9% Bolus for 15 Seconds and 60 Seconds to Hemodynamics in Sectio Caesaria Patients with Spinal Anesthesia , Journal of Society Medicine: Vol. 1 No. 3 (2022): December
You may also start an advanced similarity search for this article.