Abstract There is continued interest (unfortunately, chiefly nosological) in the severe and extensive forms of erythema multiforme bullosum and in the response of these reactions to intensive corticosteroid therapy. We would like to report a case with skin involvement of the entire body. This is the severest form of this we have seen. We would agree with Friedmann and Pathé1 that severe ocular involvement and a serious prognosis are the essential characteristic features of this syndrome which distinguish this type from other forms of erythema multiforme bullosum. Since this term, Stevens-Johnson syndrome, is still used so commonly, we have employed this phrase. Dermatologists should prefer the term of severe erythema multiforme bullosum with ocular and mucosal involvement. Report of Case A 19-year-old white woman was admitted to the Jewish Hospital on June 8, 1958. This was her first episode of any skin, mouth, or eye trouble. Her illness References 1. Friedmann, E., and Pathé, G.: Le Syndrome de Stevens-Johnson n'est qu'une forme grave de l'érytheme polymorphe , Ann. dermat et syph. 80:132 ( (March) -April) 1953. 2. Foerster, D. W., and Scott, L. V.: Isolation of Herpes Simplex Virus from a Patient with Erythema Multiforme Exudativum (Stevens-Johnson Syndrome) , New England J. Med. 259:473 ( (Sept. 4) ) 1958.Crossref 3. Costello, M. J.: Keratoconjunctivitis and Keratitis with Partial and Complete Blindness as a Sequela of Stevens-Johnson Syndrome (Erythema Bullosum Malignans) , A. M. A. Arch. Dermat. 74:444 ( (Oct.) ) 1956.
A.M.A. Archives of Dermatology – American Medical Association
Published: Jun 1, 1959
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