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病毒诱发的重症多形红斑的口腔表现:一种罕见的病例呈现

Oral Manifestation of Viral-Induced Erythema Multiforme Major: A Rare Presentation.

作者信息

Jeyanthikumari T, Thayumanavan B, Mohideen Khadijah, Vinayakam S, Ghosh Snehashish, Dhungel Safal

机构信息

Government Dental College and Hospital, Chennai, Tamil Nadu India.

Private Practitioner, Chennai, Tamil Nadu India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):1164-1167. doi: 10.1007/s12070-023-04195-1. Epub 2023 Sep 1.

Abstract

Erythema multiforme is an acute inflammatory mucocutaneous disease manifested as macules, vesicles, bullae, erosion, and papular lesions. In the present case, a 55-year-old female patient reported painful growth in the oral cavity and difficulty in mastication. The patient gave a history of prodromal symptoms before the onset of lesions On intra-oral examination, elevated plaque-like lesions were present bilaterally on lateral borders of the tongue and buccal mucosa near the retromolar region. Extraoral examination revealed concentric erythematous target (or) bull's eye lesions in palms, forearm, and foot. Based on history, clinical examination, and laboratory investigations, recurrent herpes-associated erythema multiforme was diagnosed. We report a rare clinical presentation of recurrent herpes-associated erythema multiforme manifesting as an extensive plaque-like lesion intra-orally.

摘要

多形红斑是一种急性炎症性黏膜皮肤疾病,表现为斑疹、水疱、大疱、糜烂及丘疹性损害。在本病例中,一名55岁女性患者报告口腔内有疼痛性肿物且咀嚼困难。该患者在病损发作前有前驱症状史。口腔检查发现双侧舌侧缘及磨牙后区附近颊黏膜有隆起的斑块样损害。口腔外检查发现手掌、前臂和足部有同心性红斑靶形(或)靶心样损害。根据病史、临床检查及实验室检查,诊断为复发性疱疹相关性多形红斑。我们报告了一例罕见的复发性疱疹相关性多形红斑临床表现,其在口腔内表现为广泛的斑块样损害。

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