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Stevens-Johnson syndrome triggered by phenytoin in a patient with type 2 diabetes and seizures

Misbah Ul Haq M, Ansar M, Siddiqua A, Mudaseer M

Exploratory research in clinical and social pharmacy, 2025

Abstract

This case report describes a unique and severe instance of Stevens-Johnson syndrome (SJS) triggered by a combination of phenytoin, levetiracetam, glimepiride, and metformin in a patient with type 2 diabetes. SJS is a serious condition that affects the skin and mucous membranes and is often induced by various medications. The report underscores the critical importance of promptly identifying and managing SJS, as well as the need for careful monitoring of patients on multiple drugs, especially those with prior drug allergies. It also adds valuable insights to the existing literature on drug-induced SJS, emphasizing the role of a multidisciplinary approach in improving patient care and outcomes.

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