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2021, Number 3

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Med Int Mex 2021; 37 (3)

Mycoplasma pneumoniae-induced rash and mucositis: a new disease

Roig-Marín N, Roig-Rico P, Delgado-Sánchez E, Seguí-Ripoll JM
Full text How to cite this article

Language: Spanish
References: 6
Page: 421-423
PDF size: 211.92 Kb.


Key words:

Mycoplasma pneumoniae, Rash, Mucositis.

ABSTRACT

Conclusiones: Skin rash and mucositis induced by Mycoplasma pneumoniae has several characteristics that differentiate it from disease, such as erythema multiforme, Stevens-Johnson syndrome and toxic epidermal necrolysis.
Clinic case: A 17-year-old male was hospitalized because of a febrile episode of several days of evolution that was accompanied by conjunctival hyperemia and ulcerated lesions in the oral cavity, which derived in the formation of scabs. Genital lesions and a morbilliform rash on the trunk and back also appeared. The serology was positive for Mycoplasma pneumoniae. The treatment with doxycycline and methylprednisolone was favorable.
Conclusions: Due to its characteristic pathophysiology, peculiar morphology, and benign clinical course, Mycoplasma pneumoniae-induced skin rash and mucositis should be definitively established as a new condition, distinct from erythema multiforme, Stevens-Johnson syndrome, and toxic epidermal necrolysis.


REFERENCES

  1. Canavan TN, Mathes EF, Frieden I, Shinkai K. Mycoplasma pneumoniae-induced rash and mucositis as a syndrome distinct from Stevens-Johnson syndrome and erythema multiforme: a systematic review. J Am Acad Dermatol 2015; 72: 239-245. doi. 10.1016/j.jaad.2014.06.026.

  2. Poddighe D, Bruni P. Mycoplasma pneumoniae-induced rash and mucositis (MIRM): an unusual mild skin rash associated with severe mucosal involvement. BMJ Case Reports 2017. http://dx.doi.org/10.1136/bcr-2017-220749.

  3. Chao K, Balin S, Sorenson E, Worswick S. Mycoplasma-induced pustulosis with perifollicular involvement. Dermatol Online J 2018; 24 (3): 13030/qt5584k6b1.

  4. Song H, Huang J, Tan J. Mycoplasma-induced rash and mucositis in a father and son. Pediatr Infecti Dis J 2018; 37 (7): e205-e206. doi. 10.1097/INF.0000000000001881.

  5. Mayor-Ibarguren A, Feito-Rodriguez M, González-Ramos J, del Rosal-Rabes T, et al. Mucositis secondary to Chlamydia pneumoniae infection: expanding the mycoplasma pneumoniae-induced rash and mucositis concept. Pediatr Dermatol 2017; 34 (4): 465-472. doi. 10.1111/pde.13140.

  6. Santos R, Silva M, Vieira A, Brito C. Mycoplasma pneumoniae- induced rash and mucositis: a recently described entity. BMJ Case Rep 2017:bcr-2017-220768. doi. 10.1136/ bcr-2017-220768.




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C?MO CITAR (Vancouver)

Med Int Mex. 2021;37