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Erythema multiforme - Overview

Alternative Names

Lyell's syndrome; Stevens-Johnson syndrome; Toxic epidermal necrolysis

Definition of Erythema multiforme:

Erythema multiforme is a skin disorder due to an allergic reaction or infection.

Causes, incidence, and risk factors:

Erythema multiforme is a type of allergic reaction that occurs in response to medications, infections, or illness. Medications include:

  • Barbiturates
  • Penicillins
  • Phenytoin
  • Sulfonamides

Infections include:

Most erythema multiforme is associated with herpes simplex or mycoplasma infections.

The exact cause is unknown. The disorder is believed to involve damage to the blood vessels of the skin, followed by damage to skin tissues.

Some forms of this condition are more severe than others. Erythema multiforme minor is not very serious. Erythema multiforme major (also called Stevens-Johnson syndrome) is more severe. The more severe form is usually caused by reactions to medications, rather than infections.

Erythema multiforme occurs primarily in children and young adults.

  • Reviewed last on: 10/3/2008
  • Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Lamoreux MR, Sternbach MR, Hsu WT. Erythema Multiforme. Am Fam Physician. 2006;74:1883-1888.

Erythema multiforme. In: Ferri FF. Ferri's Clinical Advisor. 1st ed. Philadelphia, Pa: Mosby Elsevier; 2009.

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