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Original Article

IJMDC. 2020; 4(5): 853-856


Fuchs syndrome: Stevens-Johnson Syndrome without skin manifestations in a child; a case report

Abdullah Mohammad Alfaleh, Waleed Alajroush, Abdulaziz Alnami.




Abstract

Background: Fuchs' syndrome (Stevens–Johnson syndrome without skin involvement) is a sporadically diagnosed disease. Most authors considered it to be a pure mucosal variant of Stevens–Johnson syndrome. Some Fuchs' syndrome' cases cannot be diagnosed due to the absence of the cutaneous symptoms. Stevens–Johnson syndrome is caused either by an infection or a cross reaction to some drugs. The syndrome often begins with flu-like symptoms, followed by a red or purple rash that spreads and forms blisters. The affected skin eventually dies and peels off.
Case presentation: We present a case of a 13-year-old patient. A biopsy for the oral mucousa was performed which showed mucousal sloughing and submucousal ulceration and granulation tissue formation.
Conclusion: Short-term management with resuscitation of the patient and eradication of the offending agent should be commenced, as well as long-term management with ointments and anti-inflammatory drugs should be given accordingly.

Key words: Fuchs' syndrome, Stevens–Johnson syndrome, mycoplasma pneumonia






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