Jawetz Robert E, Elkin Avigayil, Michael Lisa, Jawetz Sheryl A, Shin Helen T
Tenafly Pediatrics, Tenafly, New Jersey, USA.
J Pediatr Adolesc Gynecol. 2007 Oct;20(5):309-13. doi: 10.1016/j.jpag.2007.02.001.
Erythema multiforme has been linked to numerous drugs and infectious agents. A link to oral contraceptive use has been reported in the past in the adult population but thus far has not been reported in children or adolescents.
We report the case of an 18-yr-old female who developed oral erosions consistent with erythema multiforme two and a half weeks after initiating therapy with an oral contraceptive agent. A thorough examination for other inciting factors was negative, and the lesions slowly resolved over the course of 3 weeks.
This case illustrates that erythema multiforme should be considered in the differential diagnosis of adolescents with oral erosions who have been prescribed oral contraceptives.
多形红斑与多种药物和感染因子有关。过去曾报道成人使用口服避孕药与之有关，但迄今为止儿童或青少年中尚未有报道。
我们报告一例18岁女性病例，该患者在开始使用口服避孕药治疗两周半后出现了符合多形红斑的口腔糜烂。对其他诱发因素进行的全面检查结果为阴性，病变在3周内逐渐消退。
该病例表明，对于服用口服避孕药的口腔糜烂青少年患者，鉴别诊断时应考虑多形红斑。
