Skip to main content

Abstract

Erythema multiforme (EM) is an acute, immune-mediated dermatological condition affecting the skin and mucous membranes. It develops as a type IV hypersensitivity reaction to infections, medications, or other stimuli. The clinical presentation with target lesions and/or mucosal erosions with a history of exposure to a known trigger is usually sufficient for the diagnosis. Albeit self-limited in most cases, severe or recurrent forms of EM require systemic therapy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 219.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Abbreviations

CMV:

Cytomegalovirus

DIF:

Immunofluorescence

DNA (pol):

DNA polymerase

EBV:

Epstein-Barr virus

EM:

Erythema multiforme

GVHD:

Graft-versus-host disease

HSV:

Human herpesvirus

IBD:

Inflammatory bowel disease

IFN-γ:

Interferon-γ

PMLE:

Polymorphous light eruption

SJS:

Stevens-Johnson syndrome

SLE:

Systemic lupus erythematosus

TEN:

Toxic epidermal necrolysis

VZV:

Varicella-zoster virus

References

  • Bastuji-Garin S, Rzany B, Stern RS, et al. Clinical classification of cases of toxic epidermal necrolysis, Stevens-Johnson syndrome, and erythema multiforme. Arch Dermatol. 1993;129(1):92–6.

    Article  CAS  Google Scholar 

  • Ng PP, Sun YJ, Tan HH, Tan SH. Detection of herpes simplex virus genomic DNA in various subsets of erythema multiforme by polymerase chain reaction. Dermatology. 2003;207(4):349–53.

    Article  CAS  Google Scholar 

  • Schofield JK, Tatnall FM, Leigh IM. Recurrent erythema multiforme: clinical features and treatment in a large series of patients. Br J Dermatol. 1993;128(5):542–5.

    Article  CAS  Google Scholar 

  • Sun Y, Chan RK, Tan SH, Ng PP. Detection and genotyping of human herpes simplex viruses in cutaneous lesions of erythema multiforme by nested PCR. J Med Virol. 2003;71(3):423–8.

    Article  CAS  Google Scholar 

  • Wetter DA, Davis MD. Recurrent erythema multiforme: clinical characteristics, etiologic associations, and treatment in a series of 48 patients at Mayo Clinic, 2000 to 2007. J Am Acad Dermatol. 2010;62(1):45–53.

    Article  CAS  Google Scholar 

Further Reading

  • Auquier-Dunant A, Mockenhaupt M, Naldi L, et al. Correlations between clinical patterns and causes of erythema multiforme majus, Stevens-Johnson syndrome, and toxic epidermal necrolysis: results of an international prospective study. Arch Dermatol. 2002;138(8):1019–24.

    Article  Google Scholar 

  • Farthing PM, Maragou P, Coates M, et al. Characteristics of the oral lesions in patients with cutaneous recurrent erythema multiforme. J Oral Pathol Med. 1995;24(1):9–13.

    Article  CAS  Google Scholar 

  • Hoffman LD, Hoffman MD. Dapsone in the treatment of persistent erythema multiforme. J Drugs Dermatol. 2006;5(4):375–6.

    PubMed  Google Scholar 

  • Michaels B. The role of systemic corticosteroid therapy in erythema multiforme major and Stevens-Johnson syndrome: a review of past and current opinions. J Clin Aesthet Dermatol. 2009;2(3):51–5.

    PubMed  PubMed Central  Google Scholar 

  • Ohtani T, Deguchi M, Aiba S. Erythema multiforme-like lesions associated with lesional infiltration of tumor cells occurring with adult T-cell lymphoma/leukemia. Int J Dermatol. 2008;47(4):390–2.

    Article  Google Scholar 

  • Schalock PC, Dinulos JG, Pace N, et al. Erythema multiforme due to mycoplasma pneumoniae infection in two children. Pediatr Dermatol. 2006;23(6):546–55.

    Article  Google Scholar 

  • Sokumbi O, Wetter DA. Clinical features, diagnosis, and treatment of erythema multiforme: a review for the practicing dermatologist. Int J Dermatol. 2012;51:889–902.

    Article  Google Scholar 

  • Tatnall FM, Schofield JK, Leigh IM. A double-blind, placebo-controlled trial of continuous acyclovir therapy in recurrent erythema multiforme. Br J Dermatol. 1995;132(2):267–70.

    Article  CAS  Google Scholar 

  • Tzovaras V, Liberopoulos EN, Zioga A, et al. Persistent erythema multiforme in a patient with extrahepatic cholangiocarcinoma. Oncology. 2007;73(1–2):127–9.

    Article  Google Scholar 

  • Urosevic-Maiwald M, Kerl K, Harr T, Allemann IB. Dapsone-induced erythema multiforme with neutropenia in a patient with linear IgA dermatosis: case report and review of the literature. Int J Dermatol. 2013;52(11):1369–71

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kristina Semkova .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Semkova, K., Kazandjieva, J. (2015). Erythema Multiforme. In: Katsambas, A.D., Lotti, T.M., Dessinioti, C., D’Erme, A.M. (eds) European Handbook of Dermatological Treatments. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45139-7_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-45139-7_26

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-45138-0

  • Online ISBN: 978-3-662-45139-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics