Fuchs Syndrome with Isolated Oral Mucosa Lesions due to Severe Herpes Simplex Cheilitis in a Patient with Idiopathic Thrombocytopenic Purpura
  • Gian-Carlo Eyer
    Thun General Hospital, Thun, Switzerland
  • Kristine Heidemeyer
    Department of Dermatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
  • Aristomenis Exadakltylos
    Department of Emergency Medicine, Inselspital, University Hospital, University of Bern, Bern, Switzerland
  • Mairi Ziaka
    Thun General Hospital, Thun, Switzerland

Keywords

Fuchs syndrome, herpes simplex cheilitis, idiopathic thrombocytopenic purpura

Abstract

Stevens-Johnson syndrome (SJS) is a severe dermatological disease classically characterized by erythematous target lesions and mucosal involvement. Fuchs syndrome is an incomplete presentation of SJS which has oral, conjunctival and genital manifestations but no skin lesions. To the best of our knowledge, our case of Fuchs syndrome in an 80-year-old man is the first such case related to herpes simplex virus (HSV)-1 infection to be described. Our patient quickly recovered following IVIG therapy, although specific treatment is still a topic of discussion. Research is required on this poorly understood dermatological disease to determine optimum therapy.

VIEW THE ENTIRE ARTICLE

References

  • Hasegawa A, Abe R. Recent advances in managing and understanding Stevens-Johnson syndrome and toxic epidermal necrolysis. F1000Res 2020 Jun 16;9:F1000 Faculty Rev-612.
  • Bakshi SS. Stevens-Johnson syndrome. Intern Emerg Med 2019;14(2):323–324.
  • Stevens AM, Johnson FC. A new eruptive fever associated with stomatitis and ophthalmia: report of two cases in children. Am J Dis Child 1922;24(6):526–533.
  • Noe MH, Micheletti RG. Diagnosis and management of Stevens-Johnson syndrome/toxic epidermal necrolysis. Clin Dermatol 2020;38(6):607–612.
  • Schneider JA, Cohen PR. Stevens-Johnson syndrome and toxic epidermal necrolysis: a concise review with a comprehensive summary of therapeutic interventions emphasizing supportive measures. Adv Ther 2017;34(6):1235–1244.
  • Ramasamy A, Patel C, Conlon C. Incomplete Stevens-Johnson syndrome secondary to atypical pneumonia. BMJ Case Rep 2011 Oct 4;2011:bcr0820114568.
  • Li K, Haber RM. Stevens-Johnson syndrome without skin lesions (Fuchs syndrome): a literature review of adult cases with Mycoplasma cause. Arch Dermatol 2012;148(8):963–964.
  • Yachoui R, Kolasinski SL, Feinstein DE. Mycoplasma pneumoniae with atypical Stevens-Johnson syndrome: a diagnostic challenge. Case Rep Infect Dis 2013;2013:457161.
  • Jo DS, Yang JW, Hwang PH, Lee DY. Stevens-Johnson syndrome in a boy with nephrotic syndrome during prednisolone therapy. Pediatr Nephrol 2003;18(9):959–961.
  • Fellet AL, Arza P, Arreche N, Arranz C, Balaszczuk AM. Nitric oxide and thyroid gland: modulation of cardiovascular function in autonomic-blocked anaesthetized rats.Exp Physiol 2004;89(3):303–312.
  • Views: 542
    HTML downloads: 210
    PDF downloads: 230


    Published: 2022-04-04
    Issue: 2022: Vol 9 No 4 (view)


    How to cite:
    1.
    Eyer G-C, Heidemeyer K, Exadakltylos A, Ziaka M. Fuchs Syndrome with Isolated Oral Mucosa Lesions due to Severe Herpes Simplex Cheilitis in a Patient with Idiopathic Thrombocytopenic Purpura. EJCRIM 2022;9 doi:10.12890/2021_003278.