An unusual presentation of erythema multiforme in a paediatric patient

BaniHani, Alaa; Nazzal, Hani; Webb, Lyndsey; Toumba, K. J.; Fabbroni, G.

doi:10.1007/s40368-015-0181-0

Cited by 6 publications

(3 citation statements)

References 11 publications

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“…Thirty-one cases of pediatric recurrent EM have been reported in the literature, although the nine children in Weston and colleagues' study 15 and the five in Siedner-Weintraub and colleagues' study 16 did not have sufficient data regarding patient characteristics, lesion distribution, and response to treatment for inclusion. [2][3][4][5][6][7][8][9][10][11][12][13][14] The remaining 17 cases are summarized in Table 4.…”

Section: Literature Reviewmentioning

confidence: 99%

Characteristics of pediatric recurrent erythema multiforme

Heinze

Tollefson

Holland

et al. 2017

Pediatric Dermatology

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Section: Literature Reviewmentioning

confidence: 99%

Characteristics of pediatric recurrent erythema multiforme

Heinze

Tollefson

Holland

et al. 2017

Pediatric Dermatology

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“…Resolution of oral EM usually occurs without complication. However, cases of lip adhesion in paediatric patients have been reported after the healing of labial lesions (Ashton et al, 2018; BaniHani et al, 2015). Surgical separation of the lips, or even local flap repair, has been required in cases where the formation of such adhesions has not been recognised in a timely manner.…”

Section: Discussionmentioning

confidence: 99%

An unusual case of erythema multiforme presenting to an orthodontic department: A case report

Monaghan

Dugdale

2023

J Orthod

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A 16-year-old female patient presented to the orthodontic department with a 2-week history of painful oral lesions that were affecting her ability to eat. Clinical examination revealed widespread oral ulceration, crusted bleeding from the lips with evidence of a herpes simplex infection in the region of the right buccal commissure. A diagnosis of oral erythema multiforme (EM) was made after a detailed clinical history and examination by the oral and maxillofacial team. Supportive care was provided alongside management with topical corticosteroids. Within 6 weeks of initial presentation, complete resolution of the lesions had occurred and the patient was able to resume active orthodontic treatment.

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“…Ocular xerosis or impaired tear distribution can lead to conjunctival scarring, and early ophthalmologic care and close follow-up are needed if there is conjunctival involvement. Regarding oral mucosal lesions, cases of commissure adhesion (also referred to as angular webbing) have been reported infrequently in the literature [21][22][23][24][25] (Table 1) and are not only cosmetically disfiguring but may be severe enough to impair functional mouth opening. Only 5 other cases of this complication after EM have been published.…”

Section: Discussionmentioning

confidence: 99%