Brown Ronald S, Farquharson Andre A, Morton Iris, Tyler Martin T
Department of Oral Diagnostic Services, Howard University College of Dentistry, Washington, DC, USA.
Gen Dent. 2011 Jul-Aug;59(4):302-8.
This article presents three cases of erythema multiforme (EM) major with predominant oral mucosal lesions. Two males, aged 28 and 10, and a 19-year-old woman came to the clinic with oral vesiculoerosive lesions consistent with a diagnosis of EM major. All three patients reported histories consistent with an initial oral herpetic infection. Management with topical and systemic steroids resolved the lesions successfully in all three cases. The relatively recent literature has documented differences between EM and Stevens-Johnson syndrome. It is important for dentists to understand the etiology of EM and the associated diagnostic and management issues.
本文介绍了三例以口腔黏膜病变为主的重症多形红斑（EM）。两名男性，年龄分别为28岁和10岁，以及一名19岁女性因口腔水疱糜烂性病变前来就诊，诊断为重症多形红斑。所有三名患者均报告有与最初口腔疱疹感染相符的病史。使用局部和全身类固醇治疗成功解决了所有三例患者的病变。最近的文献记录了多形红斑与史蒂文斯-约翰逊综合征之间的差异。牙科医生了解多形红斑的病因以及相关的诊断和管理问题很重要。
