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Erythema multiforme

Published: September 18, 2026Updated: September 18, 2026

Important: Informational content intended for healthcare professionals. It does not replace clinical evaluation or establish a doctor-patient relationship.

Overview

  • Synonyms : exudative erythema multiforme; EM minor/EM major; “Oral EM” (predominant mucosal variant). Kechichian 2024 , Scully 2008

  • First description : Hebra coined “erythema exsudativum multiforme” (1860–1866); Bateman had previously described similar eruptions (1817). Kechichian 2024 , Gungor 2024 , Saavedra-Delgado 1992

  • Epidemiology : rare; predominant in adolescents and young adults; worldwide distribution; recurrence rate in ~20–25%; HSV is the most common trigger for recurrent MS. Samim 2013 , Staikuniene 2015 , Kechichian 2024

  • Codes : ICD-10 : L51 (subcategories L51.0, L51.8, L51.9). ICD-11 : EB12 (e.g., EB12.0 cutaneous; EB12.1 mucocutaneous). (WHO Classification).

  • Diagnostic checklist (quick
    • Essential clinical findings: typical acral targets; assess number of affected mucous membranes; rule out signs of SJS/TEN. Samim 2013 , Bastuji-Garin 1993

    • Key laboratory tests: HSV PCR if herpetic lesions are present; Mycoplasma PCR/serology depending on respiratory symptoms; electrolytes if intake is compromised. Schalock 2006

    • Diagnostic tests : Chest X-ray/CT scan if pneumonitis is present; ophthalmology if eye involvement is suspected. Scully 2008

    • Biopsy : active edge punch for H&E ± perilesional for IFD. Howland 1984 , Mysorekar 2015

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