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Abstract

Objective: Drug-induced erythema multiforme (DIEM) is an acute, immune-mediated dermatologic disease due to adverse reactions to certain drugs. Typically DIEM will resolve in 10-14 days. Yet hematological factors can result in more severe DIEM and slows healing. This case reporting DIEM and highlighting anemia as the convoluted cause.

Methods: The patient was advised to stop the previous oral anti-inflammatory drugs. Progressive black-desquamative ulcers on lips followed by blood encrustation of a 3-year-old boy were managed with saline debridement and antihistamines, topical corticosteroid, oral analgesic, combined with antibiotic ointment. The prolonged healing process of DIEM urged a complete blood count to be carried out and anemia was found. The iron syrup was then supplemented.

Results: Lesion healing was speed up and parent’s satisfaction was reached.

Conclusion: The identification of convoluted cause of prolong pediatric DIEM shows the importance of distinguishing the etiology to gain effective treatment.

Keywords: oral health, anemia, drug-induced erythema multiforme, human & health, pediatric dentistry

Pages

135-138

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Rights

©2024Maulidina N. Tasyakuranti, Seno Pradopo, Tania Saskianti, Lily A. Shoaib, Ardianti M. Dewi

DOI

10.15562/jdmfs.v9i2.1709

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