Donta-Bakoyianni K, Mitsea A G, Deodoropoulou-Papadimitriou K
Department of Oral Diagnosis and Radiology, University of Athens Dental School, Greece.
J Clin Pediatr Dent. 2002 Fall;27(1):71-6. doi: 10.17796/jcpd.27.1.r476g4640244t45g.
Erythema Multiforme (EM) is a rare mucocutaneous disease with a variety of clinical manifestations. EM it was recognized in the early 1800's, and still the etiology is unknown. It has been recently suggested erythema multiforme (EM) major and Stevens-Johnson Syndrome (SJS) could be separated as two distinct clinical disorders with similar mucosal erosions, but different patterns of cutaneous lesions. In particular SJS should be used for a syndrome characterized by mucous membrane erosions and widespread small blisters that appear on erythematous or purpuric maculae, which are different from classic targets. In SJS mouth, eyes, skin, genitalia and occasionally the esophagus and respiratory track may be affected. Oral lesions may cause severe pain and usually lips may become encrusted. Concerning ocular involvement, if there is conjunctivitis or uveitis this may lead to scarring and blindness. Also, the course of disease and the prognosis are in most cases severe.
多形红斑(EM)是一种罕见的具有多种临床表现的黏膜皮肤疾病。多形红斑在19世纪早期被发现,但其病因至今仍不明。最近有人提出,重症多形红斑(EM)和史蒂文斯-约翰逊综合征(SJS)可被视为两种不同的临床疾病,它们有相似的黏膜糜烂,但皮肤损害模式不同。特别是,SJS应被用于描述一种以黏膜糜烂和广泛的小水疱为特征的综合征,这些水疱出现在红斑或紫癜性斑疹上,与典型的靶形损害不同。在SJS中,口腔、眼睛、皮肤、生殖器,偶尔还有食管和呼吸道可能会受到影响。口腔病变可能会引起剧痛,嘴唇通常会结痂。关于眼部受累,如果出现结膜炎或葡萄膜炎,可能会导致瘢痕形成和失明。此外,在大多数情况下,疾病的病程和预后都很严重。