Multiforme exudative erythema

Multiforme exudative erythema is an acute dermatological disease that affects mostly young people. Rashes on the skin and mucous membranes recur often during the off-season.

Causes of multiforme exudative erythema

The causes of exudative erythema are unfortunately not known to date. A single microorganism causing this disease was not found. Specialists distinguish two forms of the disease:

In patients with an infectious-allergic form of the disease, focal infections (tonsillitis, sinusitis, etc.) are present. Also, predisposing factors are often increased sensitivity to bacteria and hypothermia.

With individual sensitivity to medicines, toxic-allergic exudative erythema may occur. In some cases, the disease manifests itself after the introduction of a vaccine or serum.

Symptoms of exudative erythema

The disease begins acutely. At the initial stage of the disease, the following symptoms are observed:

After a day, there is a rash on the skin, mucous membranes of the mouth, eyes, and sometimes genitals. The fever lasts from 4 to 5 days to several weeks. Red spots and flat, edematic papules increase, sometimes clear or bloody bubbles are visible in the center of the lesions.

The vesicular form of erythema is referred to as the "bullous" form. Eruptions are concentrated most often in the zones of the legs and forearms. The most severe course of multi-form exudative erythema is observed when the oral cavity is affected. Appearing on the inside of the cheeks, the sky and lips, bubbles after the opening form painful erosion. Fusing erosive wounds do not allow the patient to talk and eat normally. The process is complicated by hemorrhagic eruptions, purulent conjunctivitis, frequent nasal bleeding. The rash rests on the skin for up to 3 weeks, and on the mucous membranes - up to 6 weeks.

Treatment of multiforme exudative erythema

Therapy with a mild non-bulbous form of erythema is multimorphous, as in the case of a heavier bullous form, approximately the same:

  1. First of all, the effects of drug and food allergens should be avoided.
  2. When allergic to food is additionally assigned enterosorbents.
  3. With skin rashes aniline solutions are used.
  4. If a secondary infection has joined the erythema, then the patient is prescribed antibiotics of a wide spectrum of action.
  5. In severe cases, corticosteroid ointments and injections (prednisolone or dexamethasone) are used.
  6. Also used antifungal agents, ointments and aerosols with analgesic effect, antiseptics.
  7. With hemorrhagic syndrome, the intake of vitamins P, K, C is recommended; preparations of calcium.
  8. For the prompt disposal of rashes in the oral cavity, regular rinsings with a solution of Rotokan, a 2% solution of boric acid or a pale pink solution of potassium permanganate are required.
  9. With conjunctivitis, eye drops of sodium sulfacil and ointments with hydrocortisone are used .

Multiforme exudative erythema is not contagious, the diseased does not pose a threat to family members and colleagues. Unfortunately, the appearance of the disease often recurs (in about 35% of cases). To prevent this:

  1. Timely treat chronic diseases.
  2. Temper the body.
  3. To conduct seasonal vitamin therapy.