E-mail: moc. This article has been cited by other articles in PMC. Patients present with oral and lip ulcerations typical of EM but without any skin target lesions. It has been reported that primary attacks of oral EM is confined to the oral mucosa but the subsequent attacks can produce more severe forms of EM involving the skin. Hence, it is important to identify and distinguish them from other ulcerative disorders involving oral cavity for early management.
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E-mail: moc. This article has been cited by other articles in PMC. Patients present with oral and lip ulcerations typical of EM but without any skin target lesions. It has been reported that primary attacks of oral EM is confined to the oral mucosa but the subsequent attacks can produce more severe forms of EM involving the skin.
Hence, it is important to identify and distinguish them from other ulcerative disorders involving oral cavity for early management. This article reports two cases of oral EM that presented with oral and lip ulcerations typical of EM without any skin lesions and highlights the importance of early diagnosis and proper management.
Keywords: Drug reaction, lips, oral erythema multiforme, oral mucosa, ulcerations INTRODUCTION Adverse reactions to systemic drug administration can have different clinical patterns such as erythema multiforme minor, major, Steven Johnsons syndrome, anaphylactic stomatitis, intraoral fixed drug eruptions, lichenoid drug reactions, and pemphigoid-like drug reactions. Based on the severity and the number of mucosal sites involved, the disease has been subclassified into EM minor and major.
EM minor shows ulcerations involving a single mucosal site with typical skin target lesions. EM major shows ulcerations involving more than one mucous membrane with skin target lesions.
These lesions can be triggered by HSV infections or adverse drug reactions. Steven Johnson syndrome is a more severe condition characterized by wide spread small blisters on torso and mucosal ulcerations with atypical skin target lesions triggered by drug intake. Typical target skin lesions are necessary along with mucosal ulcerations to consider diagnosing them as EM minor and major. Many investigators have reported cases of oral mucosal ulcerations and lip lesions typical of EM without any skin lesions.
They have classified them into a new category called oral EM. She gave a history of leg sprain for which she took diclofenac sodium subsequent to which she developed multiple small ulcerations that later transformed into extensive, irregular ulcerations of the oral mucosa.
On extra oral examination, both upper and lower lips showed extensive irregular ulcerations, showing cracking and fissuring with blood encrustation. Bilateral submandibular lymph nodes were enlarged and tender.
Eritema multiforme - Conducta odontológica
Abstract the excessively high incidence on periodontal problems in the population makes it difficult for a reduced number of specialists deal with them. This content is reviewed regularly and gucal updated when new and relevant evidence is made available. Tanto el eritema multiforme menor como el mayor causan lesiones en la piel que:. Las opciones de medicamentos pueden incluir lo siguiente: Puede afectar la piel de todo el cuerpo. Los factores que pueden aumentar la probabilidad de tener eritema multiforme incluyen: Although the existence of photodistributed erythema multiforme has multiforrme recognized for years, few cases have been described to date. Malestar general, fiebre y dolor articular antes de que aparezca el exantema.
Drug induced oral erythema multiforme: A rare and less recognized variant of erythema multiforme
Es mas frecuente en los hombres que en las mujeres. Entre y destacan las descripciones del herpes iris por Bateman y la del eritema papuloso o eritema iris por Rayer. Dicho padecimiento fue descrito anteriormente por Fiessinger en como ectodermosis erosiva pluriorificial. Asociado a Inmunizaciones.
Eritema multiforme en la boca