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Contributor

Bernard Cohen, MD

Diagnosis

Stevens-Johnson syndrome toxic epidermal necrolysis

Body Site

total body

Age

5 years

Pigmentation

dark

Organization

discrete confluent

Color

red purple

Morphology

papule

Pattern

generalized, disseminated symmetric

Comments

This healthy 5-year-old boy developed itchy eyes for 2 days followed by fever and sore throat. He was started on amoxacillin, acetominophen, and ibuprofen and 24 hours later developed red macules, papules, and erosios of the face, eyes, and mouth. The lesions progressed over the face, scalp, upper trunk, and proximal extremities for 3-4 days, stabilized, and healed over 7 days. Mucous membrane involvement particularly the eyes and mouts was severe.

Description

generalized red macules, necrotic papules, vesicles, and bullae of the skin and mucous membranes

Categories

reactive erythema

Image Added

1/18/2009 19:34:05

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Other Resources

PubMed Medline Plus Medscape

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