A Severe Acute Hypersensitivity Reaction after a Hyaluronic Acid with Lidocaine Filler Injection to the Lip

245 4. Salavastru CM, Sprecher E, Panduru M, et al. Recommended strategies for epidermolysis bullosa management in romania. Maedica (Buchar) 2013;8:200-5. 5. Elluru RG, Contreras JM, Albert DM. Management of manifestations of epidermolysis bullosa. Curr Opin Otolaryngol Head Neck Surg 2013;21:588-93. systemic antibiotics. Specifically, after determining the location, size, type, and severity of the each wound, they are cleansed by normal saline or diluted antiseptics [4]. When blister formation on wounds is noted, the blister fluid may be removed by sterile needle [5]. If needed, hydrodebridement and mechanical debridement can be performed to prevent infection and help wound contraction [4]. Topical agents such as silver sulfadiazine cream or bacitracin ointment can also be applied to wounds [3]. For dressing, Petrolatum gauze seems to be the most effective dressing material for keeping wounds moist, protecting the site from trauma, and lowering the risk of skin problem such as contact dermatitis [3,4]. Administration of systemic antibiotics is not routine, but can be used if infection is suspected [4]. While most patients can be treated with conservative management, deep and large wounds may require surgical intervention such as skin grafting or local flaps [2,3]. In this report, we present a rare case of Bart syndrome in a newborn. Several treatment options are available for this condition according to severity; however, it is important to note that most cases can be managed by conservative therapy without surgical intervention.