UNIVERSITAS AIRLANGGA



Detail Article

Dental Journal (Majalah Kedokteran Gigi)

ISSN 1978-3728

Vol. 40 / No. 4 / Published : 2007-10

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Original Article :

The management of oral erythema multiforme in juvenile patient

Author :

  1. Diah Savitri Ernawati*1
  1. Department of Oral Medicine, Faculty of Dentistry, Airlangga University, Surabaya - Indonesia

Abstract :

Erythema multiforme is an acute inflammatory disease of the skin and mucous membranes that causes a variety of the skin lesion-hence the name ‘multiforme’.The oral mucosa looks severely inflamed, but the feature are non specific and usually a biopsy is required in order to confirm the diagnosis. Cracked, bleeding, Crusted, swollen and ulcers of the lips is very characteristic of erythema multiforme, and lip involvement may cause significant morbidity. EM is assumed as an immune complex disorder which rises as a result of an immune response to an external agent such as herpes simplex virus or various drugs. We reported: 14-year girl, complained she suffered from painful oral ulceration for one week. One weeks advance the patient received a treatment of paracetamol and paramex for febris, headache and cough. Clinical examination of the skin showed no signs of cutaneous involvement. Other site such as the conjunctival, and genital were also free of lesions. The patients had several red-based superficial erosions on the upper and lower lips accompanied by crusting and bleeding. Intra oral findings showed multiple irregular erosions, ulcers and intense erythematous areas, mainly on the labial mucosa. The clinical diagnosis of EM was concluded by anamnesis and clinical appearance, with differential diagnosis of secondary herpes infection (herpes labialis) and pemphigus vulgaris. Systemic and topical corticosteroid therapy is frequently used to treat EM Although it may partially suppress the disease. Objective: This report explains and describes the management of patients with EM which may help dentists to determine an accurate diagnosis to avoid further complication and to give medical intervention to the disease. Conclusion: Early recognition of this disease may prevent delayed diagnosis and incorrect treatment.

Keyword :

oral erythema multiforme, children, oral management ,


References :





Archive Article

Cover Media Content

Volume : 40 / No. : 4 / Pub. : 2007-12
  1. The Management Of Oral Erythema Multiforme In Juvenile Patient
  2. The Citotoxicity Of Calcium Hydroxide Intracanal Dressing By Mtt Assay
  3. The Correction Of Occlusal Vertical Dimension On Tooth Wear
  4. The Effect Of Gender Differences On Dentist's Performance (a Study In Health Centers In East Java)
  5. Various Polymerization Temperature On Dimensional Accuracy Of Orthodontic Acrylic Base Plate
  6. The Ability Of 5% Tamarindus Indica Extract As Cleaner Of The Root Canal Wall Smear Layer
  7. A New Concept In Orthodontics: Faster And Healthier Tooth Movement By Regularly Consuming Xyilitol Chewing Gum
  8. The Application Of Methacrylate Resin And The Derivation As Restorative Material Of Damaged Tooth Tissue
  9. The Clinical Potential And Limits Of The All-ceramic Fixed Partial Denture Restorations
  10. Closed Mouth Method With Dynamic And Muco Compressive Impression On Upper And Lower Jaw Ridges For Aid Full Denture Retention

Information DENTJ