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Oral Erythema Multiforme: Case Report

구강내 다형홍반의 증례보고

  • Roh, Byung-Yoon (Department of Oral medicine, School of Dentistry, Chosun University) ;
  • Ahn, Jong-Mo (Department of Oral medicine, School of Dentistry, Chosun University) ;
  • Yoon, Chang-lyuk (Department of Oral medicine, School of Dentistry, Chosun University) ;
  • Ryu, Ji-Won (Department of Oral medicine, School of Dentistry, Chosun University)
  • 노병윤 (조선대학교 치의학전문대학원 구강내과학교실) ;
  • 안종모 (조선대학교 치의학전문대학원 구강내과학교실) ;
  • 윤창륙 (조선대학교 치의학전문대학원 구강내과학교실) ;
  • 유지원 (조선대학교 치의학전문대학원 구강내과학교실)
  • Received : 2012.10.30
  • Accepted : 2013.01.13
  • Published : 2013.03.30

Abstract

Erythema multiforme(EM), a blistering and ulcerative inflammatory disorder, affect skins or mucosa, and is thought to be triggered mainly by preceding infection, such as Herpes simplex virus, or exposure to drugs and medication, particular antibiotics or analgesics. Symptoms include typical cutaneous target lesions on skins and in case of oral manifestation, erosive and ulcerative lesions on lips, buccal mucosa, and tongue are known to occur, which needs differential diagnosis with other intraoral lesions. In this case, EM assumed that it is occurred by giving Trichomonas infection or Metronidazole in oral region is introduced with a review of diagnosis and treatment of EM.

다형 홍반은 피부 혹은 점막에 영향을 미치는 수포성, 궤양성의 염증성 질환이다. 이는 단순포진 바이러스와 같은 감염이나, 항생제나 진통제와 같은 약물에 의해 유발하는 것으로 알려져 있다. 증상으로는 피부에 과녁모양의 전형적인 병소가 나타나는 것으로 알려져 있으며, 구강 내에 증상이 발현 될 경우, 입술, 볼, 혀에 미란성의 병소가 발현되는 것으로 알려져 있고, 이는 다른 구강내 병소와의 감별을 필요로 한다. 본 증례에서 트리코모나스 감염 또는 메트로니다졸 투여로 인해 유발되었을 것으로 추정되는, 구강에 발생한 다형홍반의 사례를 소개하고, 다형홍반의 진단 및 치료에 대해서 고찰해 보고자 한다.

Keywords

References

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