Mucositis, conjunctivitis but no rash - the "Atypical Stevens - Johnson syndrome"
McGouran, D.C.R.; Petterson, T.; McLaren, J.M.; Wolbinski, M.P.
Acute Medicine 10(2): 81-82
2011
ISSN/ISBN: 1747-4892 PMID: 22041607 Document Number: 13624
The Stevens-Johnson syndrome (SJS) classically involves a rash, conjunctivitis and mucositis. We describe the case of a young adult male with isolated mucositis and conjunctivitis . Previous rare reports of severe SJS like syndromes without a rash are confined to children, usually with mycoplasma pnemoniae infection.(1) Terminology for this syndrome includes - "Stevens-Johnson Syndrome without skin lesions", or "Atypical Stevens - Johnson Syndrome".(2) This case highlights the importance of maintaining an open mind when a "full house" of clinical features is absent. It also illustrates the use of a rapid electronic literature review as a clinical tool. The importance of updating records when a drug has been cleared of causing harm is highlighted.
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