Doctor insights on:
Erythema Multiforme Diffuse Macular Rash
My 9 y/o son was diagnosis w/erythema multiforme. He takes xyzal (levocetirizine) to keep the rash minimal but this has lasted 3 mo. Does EM last this long?
Allergy?: Erythema multiforme may be from an allergy to medications, or a viral infection which lasts 2-6 weeks if it is mild. If it's worse by now you may want to see your doctor again. Here is a handout on EM: http://www. Wikidoc. Org/index. Php/Erythema_multiforme_%28patient_information%29 ...Read moreSee 1 more doctor answer
My 3 year old has a rash all over and a fever they said its erythema multiforme. What caused that?
1-3 weeks: It is, of course, variable based on each patient. Em is most often self-limited. Mild cases can resolve in 1-2 weeks but more advanced cases can take longer to resolve. ...Read more
I'm taking prednisone for erythema multiforme and combined it with Nabumetone. A sunburn like rash has formed on my chest and arms. Please advice.?
Supportive care: You first want to identify & remove any trigger, like a strep infection that can be treated or food that is setting off the reaction. The rest is supportive. Fluids as tolerated or by IV if not. Meds for itching if a problem. Anti inflammatory steroids are standard to calm the reaction, used in treatment doses first & withdrawn as the reaction fades. ...Read more
Probably not: The reports are flares or local EM-like reactions to henna and to some of the bright colors. Ordinary black tattoo ink is less likely to be a problem. Wait on getting inked, though, especially at your age. I'm a buff and have two, but you need to wait several years and if after that time it is STILL exactly what you want, go for it. Erythema mul ...Read more
No: Erythema multiforme is an allergic reaction. Em minor is similar to a very bad case of hives. Em major is severe and needs treatment in a hospital. Substance abuse often means a person exposes himself to illegal drugs (unknown purity, unknown additives, unknown amounts, etc...) and is at risk for getting allergic reactions to unknown substances he takes. ...Read moreSee 1 more doctor answer
Serious Problem: Ten (toxic epidermal necrolysis) and (sjs) steven johnson syndrome are the same illness and only are separated by the percentage of body surface area involved. Erythema multiform is usually a much more limited problem. Ten/sjs can be caused by many things, and results in sloughing off of the skin in large areas and can cause severe infection, fluid loss and death. ...Read more
I've had erythema multiforme for 20 months now. Doctors not being very helpful. Likely not herpes simplex. What should I do?
Still maybe herpes: As you seem to know, erythema multiforme can be triggered by recurrent HSV infections. But "likely not" is pretty vague. If there is no other explanation, ask your doctor about anti-HSV treatment (e.g. valacyclovir) to see if it helps. The drug is harmless, so why not try? You also should have an HSV blood test, even though such testing is (wrongly) deemphasized in Canada. See a dermatolgist. ...Read more
Erythema multiforme: It depends on the cause, and whether or not the cause is diagnosed and treated. If it's a drug side effect and the drug is stopped, it may start to clear up quickly, in a few days. If it's due to a chronic auto inflammatory condition, it could last a long time, or come and go with flares of the illness. Http://www. Ncbi. Nlm. Nih. Gov/pubmedhealth/pmh0001854/. ...Read moreSee 1 more doctor answer
Meds, cool bath: Emm will often take a while to peak in its intensity given the variable trigger (food, illness) & during that period anti-histamines may help suppress a wider breakout and itching. Often I rx with a short course of an anti-inflammatory steroid orally (injection works faster). Avoid hot baths or trips outside in the summer heat. Ibuprofen sometimes helps the grumpiness. ...Read more
See below: Stj syndrome is the most severe form of (em) erythema multiforme. Em is a hypersensitivity reaction that occurs in response to meds, infections, or illnesses. Exact cause is unknown but thought to be related to damage to blood vessels of skin then tissue damage. Em minor is caused usually by herpes simplex or mycoplasma. Em major (stj) is usually caused by medications. Stj can be deadly! ...Read more
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