Abstract

A 31 year old male presented to the emergency room with a full body rash and sores in the mouth and groin. The patient also admitted to a fever of 101 degrees Fahrenheit, sore throat, and body aches four days prior to presentation. Strep test was negative and patient was suspected for mononucleosis due to presence of a nutmeg rash. Upon examination, the patient exhibited erythema in his eyes, suggesting ocular involvement. Examination of the lips and oropharynx revealed heme crusting and erosions. The patient’s trunk displayed central scattered erythema, with photodistributed erythema on his neck and head. The patient was not currently on any medication. Previous cases have shown SJS as a result of medication or infections, however the manifestation of SJS after sun exposure is unique to the literature. This case provides valuable insights into idiopathic UV-induced SJS and the impact/importance of rapid treatment on various forms of SJS.

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