Evidence map›Paper›PMID 38855049›Full record

ArticleJournal of acute medicine2024

Toxic Epidermal Necrolysis After COVID-19 Vaccination: A Case Report and Review of Literature.

Sachin Wali, Shreyas Gutte, Gaurav Pandey, Ajit Kumar, Mohan Gurjar, Jitendra Singh Chahar

Abstract read
In one paragraph

Article in Journal of acute medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. The immunogenicity and safety of adenoviral-based vaccines.Current opinion in allergy and clinical immunology · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sachin WaliSanjay Gandhi Postgraduate Institute of Medical Sciences Department of Critical Care Medicine Lucknow India.
Shreyas GutteSanjay Gandhi Postgraduate Institute of Medical Sciences Department of Critical Care Medicine Lucknow India.
Gaurav PandeyCommand Hospital Air Force Department of Anaesthesiology and Critical Care Bengaluru India.
Ajit KumarSanjay Gandhi Postgraduate Institute of Medical Sciences and Research Centre Consultant Dermatology Lucknow India.
Mohan GurjarSanjay Gandhi Postgraduate Institute of Medical Sciences Department of Critical Care Medicine Lucknow India.
Jitendra Singh ChaharSanjay Gandhi Postgraduate Institute of Medical Sciences Department of Critical Care Medicine Lucknow India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Following vaccination for COVID-19, various cutaneous adverse reactions (CARs) are reported. Here is an Asian male in late 50's who developed necrotic skin with mucosal involvement 10 days following booster dose of ChAdOx1 nCov-19 vaccination. Based on disease course and morphology, toxic epidermal necrolysis (TEN) was suspected. The patient developed respiratory distress and was intubated, intravenous immunoglobulin (IVIG) administered at 2 g/kg body weight following which skin lesions healed in fourth week, the patient was discharged after 50 days of intensive care unit (ICU) stay. Severe CARs are rare following vaccination, of two components in ChAdOx1nCoV-19 adenoviral vector vaccine, virotopes cause T-cell mediated granulysin and granzyme B release leading to epidermal detachment and mucosal involvement of conducting airways causing respiratory failure. CARs can also occur in whom first and second dose was uneventful. Supportive therapy and prevention of sepsis are mainstay of management. Though the use of IVIG has shown conflicting results, our case was successfully managed with IVIG.

Indexed as

adenoviral vector-based vaccineadverse eventcritically illcutaneous adverse reactionsSARS-CoV-2toxic epidermal necrolysis

Identifiers

PMID38855049
PMCPMC11153313

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.