Target lesions on the lips: childhood herpes simplex associated with erythema multiforme mimics Stevens-Johnson syndrome.

Abstract:

:Erythema multiforme and Stevens-Johnson syndrome are both characterized by areas of epithelial necrosis. An important clinical feature that distinguishes the two is the extensive mucosal necrosis in Stevens-Johnson syndrome but not in erythema multiforme. Because significant and serious complications may develop with Stevens-Johnson syndrome and not with erythema multiforme, it is important to differentiate between the conditions. We describe three boys with herpes simplex virus-associated erythema multiforme who had severe necrosis of the lips develop and were initially diagnosed with Stevens-Johnson syndrome. The lip lesions were large target lesions of erythema multiforme rather than the extensive necrosis seen in Stevens-Johnson syndrome and all three had a benign course.

journal_name

J Am Acad Dermatol

authors

Weston WL,Morelli JG,Rogers M

doi

10.1016/s0190-9622(97)80009-6

subject

Has Abstract

pub_date

1997-11-01 00:00:00

pages

848-50

issue

5 Pt 2

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(97)80009-6

journal_volume

37

pub_type

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