title: Mucositis, conjunctivitis but no rash - the "Atypical Stevens - Johnson syndrome".
abstract: 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.
authors: Department of Medicine, Hutt Valley Hospital, Lower Hutt, New Zealand.
authors: D C R
authors: DC
authors: McGouran
authors: T
authors: T
authors: Petterson
authors: J M
authors: JM
authors: McLaren
authors: M P
authors: MP
authors: Wolbinski
mesh_terms: D000293:Adolescent; D003231:Conjunctivitis / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D005076:Exanthema; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009061:Mouth Mucosa / Q000473:pathology*; D052016:Mucositis / Q000175:diagnosis* / Q000209:etiology; D013262:Stevens-Johnson Syndrome / Q000150:complications / Q000175:diagnosis*