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Contributor

Mike Barone, MD

Diagnosis

Stevens-Johnson syndrome erythema multiforme

Body Site

back

Age

8 years

Pigmentation

light

Organization

scattered

Color

red

Morphology

ulcerated (erosion / ulcer)

Pattern

central (centrifugal - trunk predominant)

Comments

This 8 year old girl developed upper respiratory symptoms with fever, cough, tachypnea, and malaise several days before a purulent conjunctivitis, erosive oral mucositis, and blistering skin rash. The cutaneous lesions were relatively limited, and the oral lesions and conjunctivitis began to improve 3 to 4 days later. Rapid diagnostic tests for Mycoplasma pneumoniae were positive. Interestingly, her mother had a history of pneumonia treated with oral antibiotics several weeks earlier, and her sister developed a cough and mild but similar rash several days after the patient was hospitalized.

Description

bright red edematous plaques with pink borders and some with central vesicles and crusts

Categories

reactive erythema vesiculobullous eruptions

Image Added

9/1/2002 11:31:29

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Other Resources

PubMed Medline Plus Medscape

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