Erythema multiforme major

Erythema multiforme majus
Micrograph of confluent epidermal necrosis. H&E stain.
Classification and external resources
ICD-9-CM 695.12

Erythema multiforme major (also known as "erythema multiforme majus"[1]) is a form of rash with skin loss or epidermal detachment.

The term "erythema multiforme majus" is sometimes used to imply a bullous (blistering) presentation.[2]

According to some sources, there are two conditions included on a spectrum of this same disease process:

In this view, EM major, SJS and TEN are considered a single condition, distinguished by degree of epidermal detachment.[3][4]

However, a consensus classification separates erythema multiforme minor, erythema multiforme major, and SJS/TEN as three separate entities.[3]

References

  1. Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 1-4160-2999-0.
  2. Daniel J. Trozak; Dan J. Tennenhouse (1 October 2005). Dermatology skills for primary care: an illustrated guide. Humana Press. pp. 161–. ISBN 978-1-58829-489-0. Retrieved 5 June 2010.
  3. 1 2 "Erythema Multiforme: eMedicine Emergency Medicine".
  4. Bastuji-Garin S, Rzany B, Stern RS, Shear NH, Naldi L, Roujeau JC (January 1993). "Clinical classification of cases of toxic epidermal necrolysis, Stevens-Johnson syndrome, and erythema multiforme". Arch Dermatol. 129 (1): 92–6. PMID 8420497. doi:10.1001/archderm.129.1.92.

5. Orphanet Journal of Rare Diseases 2010, 5:39 doi:10.1186/1750-1172-5-39


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