Liječenje trudnice od erythema multiforme povezanog s herpesom (HAEM): prikaz slučaja Treatment of a Pregnant Patient with Herpes Associated Erythema Multiforme (HAEM): A case report

Erythema Multiforme, (EM) is an uncommon, acute inflammatory disease of the skin and mucous membranes characterized by ulcerations caused by hypersensitivity to drugs, microbial agents or other allergens. An EM outbreak can result in more severe forms of EM involving the skin, and there are several types of EM manifestations. A hemorrhagic crust on the lip is a pathognomonic sign ofthis disease. Target lesions may or may not be present in EM cases. When target lesions are not pres-ent on the skin, it is very difficult to make a definitive diagnosis of EM. Herpes associated erythemamultiforme (HAEM) is an uncommon lesion caused by herpes simplex virus infection. A case of se-vere painful lesions in a 28-year-old pregnant patient with HAEM is presented here. HAEM is rare-ly found in pregnant women, and its clinical findings, diagnosis and treatment have not previouslybeen reported.Received: June 28, 2016Accepted: August 27, 2016 Address for correspondenceKobkan ThongprasomOral Medicine DepartmentFaculty of DentistryChulalongkorn UniversityBangkok 10330 [email protected] Key wordsErythema Multiforme; Herpes Sim-plex; Fluocinolone Acetonide; PregnantWomen 6. AlFar MY, AlRousan M, Almajali Z, Batarseh E, Alsaddi R. The useof corticosteroids in management of Herpes associated ErythemaMultiforme. J Pak Med Assoc. 2015 Dec;65(12):1351-3.7. Farthing PM, Maragou P, Coats M, Tatnall F, Leigh IM, WilliamsDM. Characteristics of the oral lesions in patients with cutane-ous recurrent erythema multiforme. J Oral Pathol Med. 1995 Jan;24(1):9-13.8. Scully C, Bagan J. Oral mucosal diseases: Erythema multiforme.Br J Oral Maxillofacial Surg. 2008 Mar;46(2):90-5.9. Osterne R, Matos Brito RG, Pacheco IA, Alves AP, Sousa FB .Management of erythema multiforme associated with recur-rent herpes infection: A case report. J Can Dent Assoc. 2009