Atypical erythema multiforme
Fatima Zahra Elfatoiki, Soumia Chiheb
Corresponding author: Fatima Zahra Elfatoiki, Department of Dermatology, Ibn Rochd UHC of Casablanca, Morocco
Received: 04 Dec 2014 - Accepted: 16 Dec 2014 - Published: 30 Apr 2015
Domain: Clinical medicine
Keywords: Genital erythematous, target-like lesions, apoptotic individual keratinocytes
©Fatima Zahra Elfatoiki et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Fatima Zahra Elfatoiki et al. Atypical erythema multiforme. Pan African Medical Journal. 2015;20:436. [doi: 10.11604/pamj.2015.20.436.5882]
Available online at: https://www.panafrican-med-journal.com//content/article/20/436/full
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
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