When should you worry about bronchiolitis obliterans?

In this volume of The Journal, Carpenter et al describe a case series 68 patients with Stevens Johnson Syndrome (SJS), reporting that 9% develop bronchiolitis obliterans. This is potentially an important observation, as it serves to underscore the need have sufficient diagnostic suspicion screen for obliterans in at-risk patients. At same time, questions remain. first question centers on definition SJS. authors include both Mycoplasma-induced SJS and drug-induced With retrospective design covering January 2004-December 2016, not possible determine whether many these cases were actually rash mucositis (MIRM), newly described entity (J Am Acad Dermatol 2015;72:239-45). particularly given relatively high percentage recurrent those No had We should also note are from Children's Hospital Colorado. As mechanism yet clear, one speculation may be more manifest related altitude or relative hypoxemia. Despite caveats report highlight complication entities propose some guidance around screening. any rare already-rare condition, aggregate experience multiple will examined clarify clinical picture. Article page 307 ▸ Stevens-Johnson Children: Consider Monitoring Bronchiolitis ObliteransThe Journal PediatricsVol. 236PreviewWe reviewed syndrome (SJS) evaluated at Colorado investigated occurrence (BO). Approximately developed BO. Pediatricians consider monitoring BO, especially treated mechanical ventilation. Full-Text PDF