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Iris Fixation via External Pentagram Suturing

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[Lip synechiae after erythema multiforme].

D Brajon¹, A-C Bursztejn, L Goffinet

¹Service de dermatologie-vénéréologie, pôle des spécialités médicales, hôpitaux de Brabois, CHU de Nancy, 6, rue du Morvan, 54500 Vandœuvre-lès-Nancy, France.

Annales De Dermatologie Et De Venereologie

|April 10, 2013

Summary

This summary is machine-generated.

Erythema multiforme (EM) can lead to severe lip adhesions and functional impairment, even after skin lesions resolve. Early intervention and pain management are crucial for preventing these long-term mucosal complications.

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Area of Science:

Dermatology
Infectious Diseases
Pediatrics

Background:

Mucosal erosions and sequelae are common in toxic epidermal necrolysis (TEN) but less frequently reported in erythema multiforme (EM).
This case highlights a rare complication of EM, emphasizing the need to consider mucosal involvement beyond the acute phase.
Mycoplasma pneumoniae infection is a known trigger for EM.

Observation:

A 12-year-old boy presented with EM secondary to Mycoplasma pneumoniae infection, exhibiting a target skin rash, conjunctivitis, balanitis, and stomatitis.
Two months post-infection, while skin lesions resolved, the patient developed significant lip adhesions and limited mouth opening (25 mm).
The adhesions caused both aesthetic and functional impairments.

Findings:

Erythema multiforme (EM) can lead to significant oral mucosal adhesions and functional impairment, even after the resolution of primary skin manifestations.
This case demonstrates that lip synechiae, a known complication of TEN, can also occur secondary to EM.
The severity of mucosal sequelae in EM warrants attention, particularly regarding long-term functional outcomes.

Implications:

Early and multidisciplinary management, including vestibular deepening and active lip movement exercises, is essential to prevent or mitigate oral mucosal adhesions in EM.
Adequate pain management is critical to facilitate patient cooperation with preventative exercises and ensure comfort.
Healthcare providers should be vigilant for potential long-term mucosal complications following EM, even in the absence of severe initial presentation.