Al-Johani Khalid A, Fedele Stefano, Porter Stephen R
Division of Medical, Surgical and Diagnostic Sciences, Eastman Dental Institute for Oral Health Care Sciences, University College of London, London, England.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 May;103(5):642-54. doi: 10.1016/j.tripleo.2006.12.008. Epub 2007 Mar 6.
Erythema multiforme (EM) and related disorders comprise a group of mucocutaneous disorders characterized by variable degrees of mucosal and cutaneous blistering and ulceration that occasionally can give rise to systemic upset and possibly compromise life. The clinical classification of these disorders has often been variable, thus making definitive diagnosis sometimes difficult. Despite being often caused by, or at least associated with, infection or drug therapy, the pathogenic mechanisms of these disorders remain unclear, and as a consequence, there are no evidence-based, reliably effective therapies. The present article reviews aspects of EM and related disorders of relevance to oral medicine clinical practice and highlights the associated potential etiologic agents, pathogenic mechanisms and therapies.
多形红斑(EM)及相关疾病是一组黏膜皮肤疾病,其特征为不同程度的黏膜和皮肤水疱及溃疡,偶尔可导致全身不适并可能危及生命。这些疾病的临床分类常常不一致,因此有时难以做出明确诊断。尽管这些疾病常由感染或药物治疗引起,或至少与之相关,但其致病机制仍不清楚,因此,尚无基于证据的可靠有效治疗方法。本文综述了与口腔医学临床实践相关的多形红斑及相关疾病的各个方面,并强调了相关的潜在病因、致病机制和治疗方法。