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Drug Induced Erythema Multiforme: a Case Report


Affiliations
1 Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Raebarelli Road, Near PGI, Lucknow, India
2 Deptt. of Oral Medicine and Radiology, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, India
     

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Erythema Multiforme is a rare, acute, inflammatory mucocutaneous condition caused by a hypersensitivity reaction with the appearance of cytotoxic T lymphocytes in the epithelium that induce apoptosis in keratinocytes, which leads to satellite cell necrosis. Reactions to drugs are quite common and are generally mild, hence not reported. However, occasionally life threatening reactions including Erythema multiforme major (Steven Johnson's syndrome) and Toxic Epidermal Necrolysis may occur. A wide spectrum of drugs can sometimes give rise to Erythema Multiforme. We report a case of Erythema Multiforme in a 4 year old female following administration of Non Steroidal Anti-Inflammatory Drugs.

Keywords

Erythema Multiforme, Drug Reaction, Hypersensitivity Reaction
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  • Drug Induced Erythema Multiforme: a Case Report

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Authors

B. Siva
Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Raebarelli Road, Near PGI, Lucknow, India
R. Kamala
Deptt. of Oral Medicine and Radiology, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, India
G. C. Shiva Kumar
Deptt. of Oral Medicine and Radiology, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, India
Neha Gupta
Deptt. of Oral Medicine and Radiology, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, India

Abstract


Erythema Multiforme is a rare, acute, inflammatory mucocutaneous condition caused by a hypersensitivity reaction with the appearance of cytotoxic T lymphocytes in the epithelium that induce apoptosis in keratinocytes, which leads to satellite cell necrosis. Reactions to drugs are quite common and are generally mild, hence not reported. However, occasionally life threatening reactions including Erythema multiforme major (Steven Johnson's syndrome) and Toxic Epidermal Necrolysis may occur. A wide spectrum of drugs can sometimes give rise to Erythema Multiforme. We report a case of Erythema Multiforme in a 4 year old female following administration of Non Steroidal Anti-Inflammatory Drugs.

Keywords


Erythema Multiforme, Drug Reaction, Hypersensitivity Reaction

References