Atypical erythema multiforme
Fatima Zahra Elfatoiki, Soumia Chiheb
The Pan African Medical Journal. 2015;20:436. doi:10.11604/pamj.2015.20.436.5882

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Atypical erythema multiforme

Cite this: The Pan African Medical Journal. 2015;20:436. doi:10.11604/pamj.2015.20.436.5882

Received: 04/12/2014 - Accepted: 16/12/2014 - Published: 30/04/2015

Key words: Genital erythematous, target-like lesions, apoptotic individual keratinocytes

© Fatima Zahra Elfatoiki et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/20/436/full

Corresponding author: Fatima Zahra Elfatoiki, Department of Dermatology, Ibn Rochd UHC of Casablanca, Morocco (Fatiza59@hotmail.fr)


Atypical erythema multiforme

 

Fatima Zahra Elfatoiki1, &, Soumia Chiheb1

 

1Department of Dermatology, Ibn Rochd UHC of Casablanca, Morocco

 

 

&Corresponding author
Fatima Zahra Elfatoiki, Department of Dermatology, Ibn Rochd UHC of Casablanca, Morocco

 

 

Image in medicine

4-year-old child presented oral and genital eruptions for 2 days, he had history of herpetic stomatitis 3 days before. Examination revealed oral painful erosive lesions with genital erythematous purpuric patch mimiking atypical target-like lesions . No others cutaneous lesions were observed. Skin biopsy showed apoptotic individual keratinocytes, degeneration of basal keratinocytes and intercellular oedema, it concluded to diagnosis of erythema multiforme. The patient was treated by Aciclovir 5mg/kg/day for 1 week with oral antihistamines, analgesics and local skin care. A complete resolution was noted after 2 weeks.

 

 

Figure 1: génital atypical target-like lesions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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ISSN: 1937-8688. © 2017 - Pan African Medical Journal. All rights reserved