大疱性多形红斑后的小儿唇部粘连及类似口腔并发症综述
Pediatric Lip Adhesion Following Bullous Erythema Multiforme and Review of Similar Oral Complications.
作者信息
Ashton Rosalind, Wong Karen W, Weinstein Miriam
机构信息
1 King's College London, St John's Institute of Dermatology, London, UK.
2 Division of Plastic Surgery, Hospital for Sick Children, Toronto, ON, Canada.
出版信息
J Cutan Med Surg. 2018 Jul/Aug;22(4):427-430. doi: 10.1177/1203475418761038. Epub 2018 Feb 20.
BACKGROUND
Erythema multiforme (EM) is a mucocutaneous disease most often associated with preceding herpes simplex virus or Mycoplasma pneumoniae infection. It is characterized by targetoid lesions occurring on the limbs and head and neck. Mucosal involvement can be extensive.
OBJECTIVE
We report a case of lip adhesion as a complication of EM in a child who required corrective surgery and review similar oral commissure complications.
METHODS
We completed a review of the literature for similar cases using PubMed and Medline.
CONCLUSIONS AND RELEVANCE
We present the youngest report of lip adhesion due to striking mucositis related to EM. Sequelae of erythema multiforme can be significant, in our case requiring surgery. Meticulous oral hygiene should be encouraged when mucosal lesions are identified.
背景
多形红斑（EM）是一种皮肤黏膜疾病，最常与先前的单纯疱疹病毒或肺炎支原体感染相关。其特征为在四肢以及头颈部出现靶形皮损。黏膜受累可能广泛。
目的
我们报告一例儿童多形红斑并发症唇粘连的病例，该患儿需要进行矫正手术，并回顾类似的口角并发症。
方法
我们使用PubMed和Medline对类似病例的文献进行了综述。
结论及意义
我们报告了因多形红斑引起的显著黏膜炎导致唇粘连的最年轻病例。多形红斑的后遗症可能很严重，在我们的病例中需要进行手术。当发现黏膜病变时，应鼓励保持细致的口腔卫生。
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