DERMATOLOGY
ERYTHEMA MULTIFORME
Prompt
Response
PromptRash descriptors
ResponseErythematous Macular rash
Discreet erythematous lesions of multiple sizes. No confluence vs confluent
Target lesions with central clearing
Involving ________ (chest/palm/torso etc)
General comment - “Child appears well perfused”
Diagnosis = Erythema multiforme
Discreet erythematous lesions of multiple sizes. No confluence vs confluent
Target lesions with central clearing
Involving ________ (chest/palm/torso etc)
General comment - “Child appears well perfused”
Diagnosis = Erythema multiforme
PromptCauses of erythema multiforme
ResponseInfectious - Mycoplasma, HSV 1+2, EBV, TB
Malignancy - NHL, lukaemia
Drugs NSAIDs, Antibiotics - Penicillins, anticonvulsants
Antibiotics (Cephalosporins, erythromycin)
Anticonvulsants - Carbemazepine
NSAID’s
Environment - Cold, Radiotherapy
List is very similar to SJS causes
Malignancy - NHL, lukaemia
Drugs NSAIDs, Antibiotics - Penicillins, anticonvulsants
Antibiotics (Cephalosporins, erythromycin)
Anticonvulsants - Carbemazepine
NSAID’s
Environment - Cold, Radiotherapy
List is very similar to SJS causes
PromptDifferential diagnosis
ResponseSyphilis - Serology, primary chancre, secondary generalised rash
Gonococcemia - hx unprotected sex, vaginal discharge, symptoms of PID, urine PCR
Hand/foot/mouth (Coxsackie) - mouth lesions, sole of foot lesions, infections contacts
Urticaria
Gonococcemia - hx unprotected sex, vaginal discharge, symptoms of PID, urine PCR
Hand/foot/mouth (Coxsackie) - mouth lesions, sole of foot lesions, infections contacts
Urticaria
PromptManagement
ResponseSupportive/symptomatic treatment
Remove triggers
Monitor for progression to EM major
Remove triggers
Monitor for progression to EM major