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Minimal Erythema Dose MED Testing

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Condiments Costing High. . . ! A Case Report of Erythema Multiforme.

Ramlal Gantala¹, Rama Raju Devaraju², Srikanth Goud G³

¹Associate Professor, Department of Oral Medicine and Radiology, SVS Institute of Dental Sciences , Appanapally, Mahabubnagar, Telangana, India .

Journal of Clinical and Diagnostic Research : JCDR

|September 23, 2015

Summary

Erythema Multiforme (EM) is a severe mucocutaneous reaction. This case highlights clove and gentamycin as potential triggers, successfully managed with corticosteroids.

Keywords:

Antiviral agents Clove Corticosteroids Gentamycin Mucocutaneous reaction

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Area of Science:

Dermatology
Pharmacology

Background:

Adverse drug reactions can manifest as mucocutaneous conditions like Erythema Multiforme (EM).
EM is characterized by diverse inflammatory skin and mucous membrane lesions, often triggered by infections, drugs, or food additives.

Observation:

A 38-year-old male presented with severe oral and cutaneous lesions impeding eating and drinking.
Initial symptoms followed clove use for tooth pain, progressing after gentamycin administration.

Findings:

Clove identified as a probable etiological agent for EM, with gentamycin potentially exacerbating the condition.
Diagnosis relied on characteristic clinical findings, as microscopy is less significant for EM.

Implications:

Successful treatment with systemic corticosteroids, following established protocols, led to a year of remission.
This case underscores the importance of thorough patient history in identifying drug-induced Erythema Multiforme triggers.