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Erythema multiforme differential diagnosis

Erythema Multiforme Differential Diagnosi

Erythema Multiforme Differential Diagnose

Differential diagnosis Acute graft versus host disease : clinical history; early changes are basal layer vacuolization and necrosis, spongiosis, apoptosis, acantholysis, chronic inflammation of upper dermis with perivascular lymphocytic infiltrate and intraepidermal lymphocyte Erythema multiforme is a clinical diagnosis, although skin biopsy may be required to exclude other conditions. The histology of erythema multiforme is characteristic but not diagnostic. It varies with the age of the lesion, its appearance, and which part is biopsied Erythema multiforme (EM) is an acute, immune-mediated condition characterized by the appearance of distinctive target-like lesions on the skin (picture 1A-H). These lesions are often accompanied by erosions or bullae involving the oral, genital, and/or ocular mucosae (picture 2A-C)

Differential Diagnosis of Erythema Multiforme in Childhood

Differential Diagnosis of Erythema Multiforme - The

Classic erythema multiforme presents with an acute eruption of target-shaped lesions on the hands, feet, knees and elbows. However target-shaped lesions may also be seen in ordinary urticaria. Target lesions are urticaria-like plaques characterised by concentric rings In erythema multiforme, blisters often arise in the centre of the plaque Sometimes the differential diagnosis of the generalized herpes zoster (HZ), HSV1/2, and drug eruption is difficult. We report a case of HZ followed by the vesicular erythema multiforme (EM)-like lesion. In this case the use of PCR was of great assistance The main clinical differential diagnosis for EM, as described above, is urticaria (especially when it is in an annular configuration), SJS, and Kawasaki disease. The lesions of secondary syphilis.. treatment for erythema multiforme. underlying cause treatment, resolves in 2-3 days. serpentine, meandering linear lesions. serpiginous lesions. microbial differential diagnosis for angiomatoid lesions (bacterial and oncogenic viral infections) bacillary angiomatosis Kaposi sarcoma

Clinical features Erythema multiforme minor. Erythema multiforme minor typically features no prodromal symptoms and classically starts with round erythematous macules. 1 These macules then develop into papules which then progress to the target lesions characteristic of erythema multiforme. 6. The target lesions have a dark centre with a blister or a crust, surrounded by a pale oedematous ring. Differential diagnosis. Erythema multiforme can mimic the annular variant of urticaria as described above. However, target lesions are pathognomonic of erythema multiforme. Its acral distribution, the way individual lesions last for more than 24 h, their purple colour and the involvement of mucous membranes all help to identify erythema multiforme Erythema Multiforme • Stevens-Johnson syndrome, • erythema multiforme major, • Erythema multiforme minor, • herpes-induced EM major, • herpes-associated erythema multiforme, • drug-induced Stevens-Johnson syndrome Differential Diagnosis • Varied nature of the disease - difficulty in diagnosis, particularly when the occurrence.

Erythema Multiforme (EM) is an acute, self-limited skin condition. Peak incidence in second and third decades of life. Despite multiple associations, thought to be triggered by HSV in most cases. Usually self-limited and resolves within 2-6 weeks; may recur. Wide spectrum of severity Although a clinical diagnosis, a skin biopsy may sometimes be required to rule out other differential diagnoses. [Level 5] Level 5] In patients with C1 esterase inhibitor deficiency or hereditary angioedema, erythema marginatum is commonly confused with acute urticaria leading to a common misdiagnosis of anaphylaxis Erythema Multiforme Differential Diagnosis. Many conditions also resemble the clinical presentation of erythema multiforme. Differential diagnosis is important to rule out other forms of condition from erythema multiforme. Differential diagnoses for this condition include the following: Urticarial and urticarial vacuities; Vasculiti

Erythema multiforme (EM) is a skin condition considered to be a hypersensitivity reaction to infections or drugs. It presents as a dermatological eruption featuring iris or target lesions, although other forms of skin lesion can occur - hence the name. It is usually an acute, self-limiting disease that affects the skin Erythema Multiforme. Erythema multiforme (EM) is an acute hypersensitivity reaction characterized by targetoid skin lesions with multiple rings and dusky centers. Lesions may be accompanied by systemic symptoms (e.g., fever) and mucosal lesions (e.g., bullae). The majority of patients with EM have a history of recent viral (especially herpes.

Erythema Multiforme - American Family Physicia

  1. Summary. Erythema multiforme (EM) is a rare, acute hypersensitivity reaction most commonly triggered by herpes simplex virus (HSV) infections.Other triggers include M. pneumoniae infection, certain drugs, and immunizations. EM is mainly seen in adults between 20-40 years of age. Clinical features include a rash of varied appearance, beginning as macules and papules, which evolve into.
  2. Differential diagnosis Differential diagnosis depends on subtypes and includes: ACLE: dermatomyositis, erythema multiforme, drug-induced photosensitivity, dermatitis (atopic [orpha.net] ( discoid rash ) Rash resulting from sensitivity to the sun (photosensitivity) Ulcers in the nose or mouth Two or more joints affected by arthritis with.
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  4. or affects only the skin and erythema major.

Erythema multiforme - Differentials BMJ Best Practic

Differential diagnosis of pemphigus vulgaris 1,2

Erythema Multiforme: Recognition and Management - American

Differential Diagnosis Urticaria: Clinically, urticaria may resemble erythema multiforme, but hives are associated with only mild systemic symptoms; it can occur in any age group; iris lesions are unusual; usually, it can be attributed to penicillin or other drug therapy; and it responds rapidly but often not completely to antihistamine therapy. Erythema multiforme is usually mild - 'erythema multiforme minor' - with only skin involvement, and clearing up in days to weeks. There is also a rare but more severe type, 'erythema multiforme major', which has similar skin features to EM minor, but additionally there is involvement of one or more mucosal membrane (e.g. the lips 5. Léauté-Labrèze C, Lamireau T, Chawki D, Maleville J, Taïeb A. Diagnosis, classifi cation, and management of erythema multiforme and Stevens-Johnson syndrome. Arch Dis Child 2000;83:347-52. 6. Imamura S, Horio T, Yanase K, Taniguchi S, Miyachi Y, Tachibana T, et al. Erythema multiforme: Pathomechanism of papular erythema and target lesion The patient with an acute maculopapular rash presents a diagnostic challenge to the clinician. The term maculopapular is nonspecific, as many eruptions have a primary morphology of macules or papules, and the term may be misused to indicate any rash. The term rash is also nonspecific and is s..

Pathology Outlines - Erythema multiform

  1. Erythema elevatum diutinum (EED) is a rare type of leukocytoclastic vasculitis characterized by red, purple, brown, or yellow papules, plaques, or nodules. These lesions are usually distributed on the extensor surfaces of the body
  2. or. Key differences between the EM subtypes include mucosal involvement and systemic symptoms such as fever.
  3. Erythema multiforme Infectious causes Noninfectious systemic lesions Leukoplakia Erthyroplakia Malignancy Kaposi's sarcoma Differential Diagnosis. 82 terms. michelleyu02. ER Catch phrase and chief complaint. 49 terms. AKolczynski. OTHER SETS BY THIS CREATOR. Normal CBC values. 9 terms. JimmyEmpire
  4. ant symptoms and their presentation.

Clinical differential diagnosis is The cognitive process of relating knowledge and logic with available diagnostic data, to establish list of differential diagnosis, then on the basis of exclusion and encountering the secondary lesion criteria final diagnosis can be done. Erythema multiforme (EM) Is an acute,. Erythema multiforme (EM) is an acute eruption characterized by fixed, targetoid skin lesions with or without mild mucosal lesions. The main clinical differential diagnosis for EM, as described. Erythema multiforme Diagnosis. Physicians diagnose the disease by asking patients about their medical history and symptoms. Patients may be referred to a dermatologist, who specializes in the remedy of skin disorders. A skin examination and analysis of medical history is usually enough to resolve most cases of EM Erythema multiforme (EM) is a cutaneous and mucosal hypersensitivity reaction with characteristic lesions in target triggered by certain antigenic stimuli. It represents an acute condition, sometimes recurrent, of the skin and mucosal membranes manifested by papular, bullous, and necrotic lesions

The differential diagnoses for erythema multiforme are extensive due to the multiple lesions types that are encountered in this condition. They include urticaria, pyoderma, dermatophytosis, demodicosis and some of the bullous autoimmune diseases, such as pemphigus vulgaris, bullous pemphigoid and epidermolysis bullosa acquisita In these cases, the differential diagnosis is easier than convincing the patient and sometimes the relatives that share the same delusional beliefs. 2.4. Differential diagnosis of generalized ACLE. The diseases, which we may consider in the differential diagnosis with generalized ACLE are mor-billiform drug reactions and erythema multiforme. 2.4.1 Erythema Multiforme (EM) is a cutaneous reaction pattern of multifactorial etiology that is seen in dogs, cats, horses, cows and ferrets. The pathophysiology of EM is thought to be a host-specific T-cell mediated hypersensitivity. The cellular immune response is directed against various keratinocyte-associated antigens, including those. Erythema multiforme, especially EM major and SJS can occur after be used as a way to help the diagnosis of erythema multiforme, to be differentiated by its differential diagnosis [5]. The phenomenon of autoimmune is often connected with genetics. There are genetic components which are identical t Erythema multiforme is an inflammatory reaction, characterized by target or iris skin lesions. Oral mucosa may be involved. Diagnosis is clinical. Lesions spontaneously resolve but frequently recur. Erythema multiforme usually occurs as a reaction to an infectious agent such as herpes simplex virus or mycoplasma but may be a reaction to a drug

Fever & RashPathology Outlines - Fixed drug reaction

Erythema multiforme (EM) is a rare skin disorder that mainly affects children. When seen in adults, it usually occurs between the ages of 20 and 40, although it can happen to people of any age The diagnosis of oral erythema multiforme is often difficult because the clinical features may mimic other oral inflammatory and vesiculobullous diseases or disorders. The diagnosis is usually supported by biopsy and exclusion of other causes [43, 44] Erythema multiforme in the dog includes a wide range of clinical lesions, leading to a long list of differential diagnoses such as urticaria, demodicosis, dermatophytosis, bacterial folliculitis, superficial spreading pyoderma and bullous autoimmune skin diseases. 3,7,8 The presence of scaling-crusting lesions additionally includes superficial. Diagnosis: Erythema multiforme (multi-varied appearances) Clinical impressions: The skin lesions in erythema multiforme present as erythematous papules, which enlarge to form central vesicles, or bullae, creating what is referred to as iris, target, or bull's eye lesions. Target lesions usually appear on skin surfaces and the oral lesions usually have an ulcerative type. Differential diagnosis. Erythema chronicum migrans may mimic ringworm or be diagnosed as erythema multiforme or erythema marginatum. Tinea infections demonstrate disruption of the epidermis, but ECM does not. ECM evolves slowly, over days; erythema marginatum is transient, often changing hourly

Symptoms can vary from mild to severe. Both erythema multiforme minor and major cause skin spots that: Feel itchy or burning. Typically develop over 3 to 4 days. Often start on hands and feet—then spread to legs, arm, and face. Start out as small, red areas that: Grow to circular, raised areas They are the more severe drug eruptions, with a mortality around 30% for TEN. The confusion between erythema multiforme major and SJS means that erythema multiforme major is the main differential diagnosis. Skin disorders involving desquamation, in particular after pustulosis, are also common differential diagnoses While you await a RECURRENT e. multiforme response, anyone presenting from the Sonoran Desert with a cough/URI symptoms, fevers/night sweats and an e. multiforme looking rash, buys a Valley Fever (Coccidioidomycosis) work-up Differential Diagnosis. For the minor form of erythema multiforme, the usual differential diagnosis includes urticaria and viral exanthems. Hives may be confused with target lesions, but hives have only two zones of color (a central pale area surrounded by erythema), and individual lesions last for less than 24h Rash in Children - Differential Diagnosis. TOPIC. IMAGES (189) UPDATES. ABOUT. Follow Share. Follow. Share. Varicella exanthem. View in Context: Chickenpox; Bullous erythema multiforme lesions due to primary smallpox vaccination. View in Context: Rash in Children - Differential Diagnosis; Erythema multiforme

Erythema multiforme DermNet N

Differential diagnosis. 1. Leukoplakia 2. Lichenoid reaction 3. Candidasis 4. Pemphigius 5. Erythema multiforme 6. Recurrant apthae 7. Lupus erythematous PHEMPHIGUS - Pemphigus is a serious chronic skin disease characterized by the appearance of vesicles & bullae, small or large fluid filled blisters that develops in cycle Differential Diagnosis of Erythema Marginatum Subcutaneous nodule, which is also one of the Jones' criteria, is seen over the bony prominences and not on the trunk and proximal extremities. Moreover, it occurs on the later part of rheumatic fever erythema multiforme lesions, which can spread over the body and appear as raised, crusty patches erythema annulare centrifugum, which can be itchy and scaly, and may appear on the fac

Erythema multiforme. Erythema multiforme is a skin reaction that can be triggered by an infection or some medicines. It's usually mild and goes away in a few weeks. There's also a rare, severe form that can affect the mouth, genitals and eyes and can be life-threatening. This is known as erythema multiforme major Erythema Multiforme. TOPIC. IMAGES (8) UPDATES. ABOUT. Follow Share. Follow. Share. Erythema multiforme. View in Context: Erythema Multiforme; Rash in Children - Differential Diagnosis; Erythema multiforme. View in Context: Erythema Multiforme; Annular Skin Lesions - Approach to the Patient Please enter at least one feature (symptom, sign or investigation result) before performing the calculation. For example, if chest pain and low oxygen saturations were present, but haemoptysis was absent, the features section should look as follows:. To add a feature that is present, start typing and then click the green arrow

The main differential diagnosis is erythema multiforme. Initially, many patients are mistakenly diagnosed with erythema multiforme and subsequently the diagnosis is corrected. Important clinical findings for differentiation are the rapid resolution of urticarial multiforme lesions (<24 h), and the presence of a necrotic center, which is. Erythema Multiforme What other clues? • Usually on extremities (acral distribution) • Self-limited; resolves in 2-4 weeks Common is a targetoid or iris appearance Also papules, macules, plaques, vesicles Erythema Multiforme • Infection (most common) • Meds • Lupus?? • Others Differential Diagnosis 35-year-old Female Presents. Differential Diagnosis. A A Font Size Share Print More Information. Disease/Condition. Tickbite allergy. Differntiating Signs/Symptoms. Erythema multiforme. Differntiating Signs/Symptoms. Extensive, disseminated rash often occurs with blistering and mucosal involvement in erythema multiforme major

We read with interest the report by Siedner-Weintraub et al. (1), who found that only 30 out of 119 children with an initial diagnosis of erythema multiforme (EM) (20 girls, 10 boys, age range 4-18 years) met the Bastuji-Garin classification criteria recommended for diagnosis of this condition Erythema multiforme minor describes EM without mucosal involvement; erythema multiforme major refers to EM with mucosal disease. The differential diagnosis of EM and distinguishing features are enumerated below. Urticaria: Lesions have a normal central zone, are transient (last less than 24 hours), and new lesions appear daily; in contrast.

Erythema multiforme: Pathogenesis, clinical features, and

erythema multiforme. Sokumbi, O. and Wetter, D. A. (2012), Clinical features, diagnosis, and treatment of erythema multiforme: a review for the practicing dermatologist. International Journal of Dermatology, 51: 889-902. Figure 5 Course of Illness EM is generally regarded as a self-limiting skin disease. The lesions will appear ove Erythema multiforme/Erythema nodosum, Pericarditis, Ocular choroiditis Hilar adenopathy; Patchy infiltrates more common in lower lobes; Chronic form mimics tuberculosis Granulomatous lesions (pathology) No : Standar The importance of patch tests in the differential diagnosis of adverse drug reactions. Anais Brasileiros de Dermatologia. 2011;86 (4) supl.1 Proceeding with a drug challenge carries the risk of triggering Erythema Multiforme, SJS or Toxic Epidermal Necrolysis

Erythema Multiforme - NORD (National Organization for Rare

differential diagnosis of: vesiculoerosive and ulcerative lesions created by prashant kaushik multiple acute chronic traumatic ulcer recurrent aphthous ulcer erythema multiforme coxsackievirus infections (herpangina, hand-foot mouth disease, etc) erosive lichen planu phigoid, erosive LP, and erythema multiforme. Diagnosis requires a biopsy to identify the location of the epithelial separation (acan-tholysis), and usually DIF to localize the autoantibody attached to the tissue in the suprabasal areas of the stratum spinosum (IgG and C3).8 Almost all cases of PV require systemic corticosteroids of

Marked basal layer damage is a feature of Erythema multiforme and its variants Stevens Johnson syndrome and Toxic epidermal necrolysis. We call this interface reaction pattern. It may also be seen to a lessor degree in lupus erythematosus and lichen planus and in the PLEVA variant of Pityriasis lichenoides Erythema multiforme and Stevens-Johnson syndrome/toxic epidermal necrolysis are immune-mediated epidermal conditions with variable clinical presentations. Although their clinical presentations often overlap, they have distinct etiologies and potential outcomes, which necessitate specific management strategies Erythema multiforme is a skin disorder that's considered to be an allergic reaction to medicine or an infection. Symptoms are symmetrical, red, raised skin areas that can appear all over the body. They do seem to be more noticeable on the fingers and toes. These patches often look like targets (dark circles with purple-grey centers) Clinical features, diagnosis, and treatment of erythema multiforme: a review for the practicing dermatologist. Int J Dermatol. 2012;51(8):889-902. Taghvaye Masoumi H, Hadjibabaie M, Zarif YM, Arasteh O. Exacerbation of allopurinol-induced drug reaction with eosinophilia and systemic symptoms by teicoplanin: A case report

8: Immune-Mediated, Autoimmune, and Granulomatous

What are the differential diagnoses for Erythema Multiforme

Diagnosis: Erythema multiforme (multi-varied appearances) Clinical impressions: The skin lesions in erythema multiforme present as erythematous papules, which enlarge to form central vesicles, or bullae, creating what is referred to as iris, target, or bull's eye lesions. Target lesions usually appear on skin surfaces and the oral lesions usually have an ulcerative type. Erythema multiforme (EM) is an acute, often recurrent, inflammatory condition. While it is associated with many different causes such as drugs, infections, and physical agents, it is most commonly associated with acute upper respiratory infections, herpes simplex virus, and Mycoplasma pneumoniae. EM typically occurs in persons 20-40 years of age, with urticarial papules or the [ Erythema multiforme is an acute mucocutaneous disorder, characterized by varying degrees of blistering and ulceration. We report a case of recurrent herpes-associated erythema multiforme managed with prophylactic acyclovir. An 11-year-old boy had lesions in the oral cavity and lips, which had been diagnosed as erythema multiforme In this article, you'll learn what is Erythema Multiforme. Further, it talks about the causes and symptoms of Erythema Multiforme, along with the diagnosis, tests, and treatment of Erythema Multiforme. Medicines for Erythema Multiforme have also been listed Mycoplasma-Induced Rash and Mucositis (MIRM), also known as Mycoplasma pneumoniae-associated mucositis (MPAM) is an extrapulmonary manifestation of Mycoplasma pneumoniae (M. pneumoniae) that has recently been distinguished from Erythema Multiforme (EM), Stevens-Johnson Syndrome ( SJS ), and Toxic Epidermal Necrolysis (TEN)

Erythema multiforme exudative is an acute, often relapsing disease of the skin and mucous membranes of infectious and allergic genesis, a polyethological disease predominantly of a toxic-allergic origin, most often developing sex through the influence of infections, especially viral infections, and the effects of medications Adverse effects, observed in 4 patients, included fatigue, macrocytic anemia, anxiety, insomnia and involuntary movements, and drug-induced lupus erythematosus. [ncbi.nlm.nih.gov] The following are the most common symptoms of erythema multiforme: Sudden, red patches and blisters, usually on the palms of hands, soles of feet, and face Flat, round red targets (dark circles with purple-grey. A 92-year-old woman presented with an acute onset generalised maculopapular rash with associated mucosal involvement, on a background of recent start of griseofulvin. The rash progressed rapidly over 2 days to involve most of her body, however, mucosal involvement was limited to her oral mucosa. Characteristic target lesions appeared at 72 h, and a diagnosis of erythema multiforme secondary to. Erythema Multiforme minor is a hypersensitivity reaction usually attributed to an existing infection, most commonly Herpes simplex virus and mycoplasma pneumonia. Given this fact some clinicians have used the term HAEM (or herpes associated Erythema Multiforme). Other triggers include drug reactions and various other viral and fungal infections General exfoliative dermatitis Discuss the natural history, differential diagnosis, signs, symptoms and treatment of the following reactive dermatoses: 1. Urticaria 2. Erythema multiforme 3. Erythema nodosum 4. Henoch-Schoenlein purpura Discuss the dermatological manifestations of the following collagen vascular diseases: 1

Erythema multiforme (EM), an uncommon inflammatory skin disease, is often sudden in onset and can affect the skin, the mucous membranes and the junction between the two (mucocutaneous junction). The condition can wax and wane, can be self-limiting or can require more in-depth diagnostic workup and therapeutic intervention In order to be sure of diagnosis several other diseases should be ruled out. The differential diagnosis of early erythema multiforme includes drug eruption, polymorphic light eruption, urticaria, urticarial vasculitis, viral exanthems, and other hypersensitivity reactions. Many medications are being tried in the US

Behcet&#39;s syndrome (Behcet&#39;s disease)

Not All Round Rashes Are Ringworm: A Differential

Stevens-Johnson syndrome must be differentiated from other diseases that cause fever, ulcers in the mucous membranes and skin, sore throat, and fatigue, including chickenpox, herpes zoster, erythema multiforme, among others. Differential Diagnosis. Different rash-like conditions can be confused with Stevens-Johnson syndrome and are thus. Differential Diagnosis • Viral infection, in particular, acute herpetic gingivostomatitis (Note: Erythema multiforme rarely affects the gingiva.) • Pemphigus vulgari Introduction. Erythema multiforme (EM) is an acute mucocutaneous syndrome that runs a self-limiting, usually mild, course. It is considered a hypersensitivity reaction to different antigenic stimuli, the most common of which is herpes simplex virus (HSV). 1-5 It is clinically characterized by a polymorphous eruption of crops of erythematous macules and papules that tend to be symmetric and. Erythema Multiforme: 22-year-old male with a persistent red eye for two weeks . Julie Ames, Parley D. Fillmore, MD, PhD, and Thomas A. Oetting, MS, MD. August 20, 2007. Chief Complaint: Persistent red left eye (OS) for two weeks History of Present Illness:The patient is an otherwise healthy 22-year-old African-American male who presented with a two week history of red left eye

Management of Erythema Multiforme in the Urgent Care Setting. Urgent message: With the increasing use of medications, especially antibiotics, more and more patients are presenting to urgent care with erythema multiforme. Correct diagnosis and identification of the underlying cause can result in rapid clinical resolution of the lesions Erythema multiforme • Differential diagnosis: 1) Primary herpetic gingivostomatitis (primary herpes) 2) Pemphigus vulgaris 3) Mucous membrane pemphigoid 4) Erosive lichen planus ** Histology and direct immunofluorescence studies can help to rule out some of these entities ** Intraoral herpe

Erythema multiforme minor; Poison Oak, Ivy, Sumac dermatitis; Bullosis diabeticorum; Bullous impetigo; Folliculitis; Evaluation. Frequently a clinical diagnosis based on ruling-out more dangerous causes; See differential diagnosis section (above) Consider whether or not the patient has a fever or is toxic appearing (dangerous diagnosis) Look at. differential diagnoses Drug Eruption (56) Erysipelas (25) Erythema Exsudativum Multiforme, Minor Form (47) Exanthema Subitum (2) Gloves and Socks Syndrome (7) Measles (10) Rosacea (33) Rubella (1) Scarlet Fever (2) Subacute Cutaneous Lupus Erythematosus SCLE (61) Systemic Lupus Erythematosus (33 Symptoms of the solar multiforme exudative erythema The disease mainly occurs in spring and summer. In most cases, on the open areas (face, neck, outer sides of hands and feet) emptied with swollen edematous spots or nodules SJS should be considered in the differential diagnosis, as early and intense corticosteroid therapy may be life-saving. A regimen of prophylactic acyclovir and therapy for an exacerbation of herpetic lesions with acyclovir and prednisone was effective in inducing significant control of recurrent erythema multiforme secondary to herpes simplex.

Erythema multiforme - VisualD

A clinical diagnosis of erythema multiforme was made. Topical corticosteroids were prescribed. Complete resolution of the symptoms occurred quickly and this was well documented during a follow up evaluation three weeks later. What are the mortality considerations for someone with a diagnosis of erythema multiforme Bull's-eye lesions characterize the skin reaction pattern of erythema multiforme (EM). EM can be asymptomatic, pruritic, or burning. As an immune response to adverse antigenic stimuli from. Erythema Multiforme. A 12-year-old girl was recently treated for walking pneumonia and was found to be positive for mycoplasma. A few days into her illness, she developed multiple raised lesions over her palms, back of hands, and extensor forearms. These lesions were targetoid and mildly itchy. There were no lesions on her mucous membranes

A bullous rash and bilateral hilar lymphadenopathy -- LeeBullous pemphigoid - WikEMJOMR | Contact Allergic Cheilitis Secondary to Latex