ERYTHEMA MULTIFORME WITH ORAL AND CUTANEOUS MANIFESTATION: CASE REPORT

Abstract

A 36-year-old Black woman attended the stomatology clinic with the main complaint "my mouth is all bruised." During the history of the current disease, the patient mentioned that mouth ulcers used to appear for 2 years with spontaneous regression. However, at the time of the consultation, the lesions had been active for 1 month without regression. During the extraoral examination, the patient had ulcerations on her lips and elbows. On intraoral examination, ulcers with diffuse white and red areas and spontaneous pain were observed, located on the buccal mucosa, tongue, floor of mouth, and lip mucosa. An incisional biopsy was performed. The histologic sections revealed a subacute inflammatory process, rich in eosinophils with ulceration and subepithelial cleft formation compatible with erythema multiforme. The patient returned to receive the report with new active lesions. Topical corticosteroids were prescribed for oral use and the patient was referred to the dermatologist for follow-up of the skin lesions.