Dental Journal (Majalah Kedokteran Gigi)
ISSN 1978-3728
Vol. 43 / No. 2 / Published : 2010-06
Order : 1, and page :49 - 53
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Original Article :
Erythema multiforme as the result of taking carbamazepine
Author :
- Maharani Laillyza Apriasari*1
- M. Jusri*2
- Resident of Oral Medicine
- Department of Oral Medicine
Abstract :
Background: Erythema multiforme is an acute mucocutaneus disease which is caused by the hypersensitivity reaction. It is characterized by target lesions on the skin or ulcerative oral lesion. Etiology of the disease is unknown, it is currently considered as immunologic disease. The triggering factors are because of the use of certain type of drugs like antibiotics, anticonvulsant, and NSAID. Most of the dentists do not know about it’s mechanism, so a lot of people consider it as a malpractice. Purpose: This paper reported a case of a man, 46 years old which had ulcerative oral mucous, peeled and pain lips after taking carbamazepine drugs. Case: The clinical diagnosis of this case was erythema multiforme because of the hypersensitivity reaction as the result of taking carbamazepine drugs. Case management: The final diagnosis based on anamnesis history of taking systemic drugs and clinical manifestation of erythema multiforme in the oral cavity. The drugs therapy that had been given were antihistamine, oral corticosteroid, gargle liquid contained of topical anesthetic, corticosteroid, and antibiotic. Conclusion: In this case, it can be concluded that erythema multiforme appeared was triggered by taking carbamazepine as drugs of choice for Trigeminal Neuralgia therapy. These drugs can cause type III hypersensitivity reaction. The final diagnosis based on anamnesis history of the use carbamazepine drugs before lesions erupted and the characterized clinical manifestation.
Keyword :
erythema multiforme, carbamazepine, hypersensitivity,
References :
George L,(2005) Treatment of oral disease: A concise textbook Stuttgart : Thieme
Archive Article
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Volume : 43 / No. : 2 / Pub. : 2010-06 |
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