Ocular Manifestations in Paediatric Erythema Multiforme: A Case Report

Doi: 10.36351/pjo.v40i4.1863

Authors

  • Ronik Harsono Kamal Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Hospital Surabaya, Indonesia
  • Yasmine Ayu Dwinastiti Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National Referral General Hospital, DKI Jakarta
  • Dewi Alya Winarto Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National Referral General Hospital, DKI Jakarta
  • Sarah Kamiela Juffry Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National Referral General Hospital, DKI Jakarta
  • Julie Dewi Barliana Pediatric Ophthalmology Division, Department of Ophthalmology, Faculty of Medicine, Universitas Indonesia - Cipto Mangunkusumo National Referral General Hospital, DKI Jakarta

DOI:

https://doi.org/10.36351/pjo.v40i4.1863

Abstract

Erythema multiforme (EM) is a type IV cytotoxic hypersensitivity reaction characterized by classic target lesions on the skin and mucosa, typically affecting the oral, genital, and rarely, ocular mucosa. We describe a 9-year-old girl with widespread rashes, blisters and target lesions on her trunkfor three days. She had eye redness, discomfort, a week-long fever, and a dry cough, without any medication. Ophthalmological examination revealed localized conjunctival injection in her right eye, with no visual impairment or corneal lesions. The diagnosis of EM major (EMM) was based on prior infection, characteristic skin lesions, and mucosal involvement, including ocular manifestation of conjunctival injection. Treatment requires addressing the underlying cause and ophthalmologic consultation for systemic or topical corticosteroids, antibiotics, lubricants, and antihistamines. This case highlights the diagnostic challenges of atypical EM presentations, emphasizing the need for comprehensive evaluation, early recognition, and interdisciplinary collaboration to prevent severe ocular complications and preserve vision.

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Published

01-10-2024

How to Cite

1.
Kamal RH, Dwinastiti YA, Winarto DA, Juffry SK, Barliana JD. Ocular Manifestations in Paediatric Erythema Multiforme: A Case Report: Doi: 10.36351/pjo.v40i4.1863. pak J Ophthalmol [Internet]. 2024 Oct. 1 [cited 2024 Oct. 5];40(4). Available from: https://pjo.org.pk/index.php/pjo/article/view/1863

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Section

Case Report