Erythema Multiforme

Presented by Tiffany Milner

Patient: A 12 month-old has been referred to the Emergency Department by the PCP. She has a rash, fever, and swelling.

Diagnosis: Erythema Multiforme
More than 50% diagnosed are < 20 years-old

2 Types:

1) EM Minor
a) Little/no mucus membrane involvement
b) Vesicles, no bullae
c) No systemic symptoms
d) Usually involves only extremities and face

2) EM Major
a) Most often a drug reaction
b) Mucus membrane involvement
c) Extensive confluent bullae
d) Systemic symptoms (fever, prostration, chelitis)

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Erythema Multiforme