Febrile ulceronecrotic Mucha-Habermann disease (pityriasis lichenoides et varioliformis acuta fulminans) presenting as Stevens-Johnson syndrome

Pediatr Dermatol. 2012 Mar-Apr;29(2):135-40. doi: 10.1111/j.1525-1470.2011.01608.x. Epub 2011 Nov 16.

Abstract

We present two pediatric patients with pityriasis lichenoides et varioliformis acuta fulminans whose admitting diagnosis was Stevens Johnson Syndrome. The patients were successfully treated with methotrexate and prednisone. These cases highlight the importance of early recognition and treatment of this disease to prevent further morbidity and a potentially fatal prognosis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Clindamycin / therapeutic use
  • Dermatologic Agents / therapeutic use
  • Drug Therapy, Combination
  • Female
  • Herpes Simplex / diagnosis*
  • Herpes Simplex / drug therapy
  • Humans
  • Infant
  • Methotrexate / therapeutic use
  • Pityriasis Lichenoides / diagnosis*
  • Pityriasis Lichenoides / drug therapy
  • Prednisone / therapeutic use
  • Skin Ulcer / diagnosis*
  • Skin Ulcer / drug therapy
  • Stevens-Johnson Syndrome / diagnosis*
  • Treatment Outcome
  • Vancomycin / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Dermatologic Agents
  • Clindamycin
  • Vancomycin
  • Prednisone
  • Methotrexate

Supplementary concepts

  • Febrile Ulceronecrotic Mucha-Habermann disease