RECURRENT BULLOUS ERYTHEMA MULTIFORME SECONDARY TO HERPES SIMPLEX INFECTION IN AN 18-YEAR-OLD MALE: A CASE STUDY.

Introduction Erythema multiforme (EM) is an acute, immune-mediated mucocutaneous disorder characterized by characteristic targetoid lesions. The bullous subtype is rare and often triggered by infections such as herpes simplex Virus (HSV). Recurrent EM is strongly associated with HSV reactivation....

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Main Authors: Abraham Mukalazi, KATUNGI
Format: Article
Language:English
Published: Student's Journal of Health Research 2025-03-01
Series:Student's Journal of Health Research Africa
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Online Access:https://sjhresearchafrica.org/index.php/public-html/article/view/1570
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author Abraham Mukalazi
KATUNGI
author_facet Abraham Mukalazi
KATUNGI
author_sort Abraham Mukalazi
collection DOAJ
description Introduction Erythema multiforme (EM) is an acute, immune-mediated mucocutaneous disorder characterized by characteristic targetoid lesions. The bullous subtype is rare and often triggered by infections such as herpes simplex Virus (HSV). Recurrent EM is strongly associated with HSV reactivation. Case Presentation We report an 18-year-old HIV-seronegative male with recurrent bullous erythema multiforme secondary to oral HSV infection. The patient had a two-year history of recurrent blistering episodes occurring every 2-3 months. Laboratory findings confirmed high HSV-1 IgG titers. Histological examination supported the diagnosis of bullous erythema multiforme. The patient was treated successfully with oral acyclovir suppression therapy, leading to a complete resolution of symptoms with no recurrences for six months. Conclusion This case highlights the importance of recognizing HSV as a potential trigger for recurrent bullous erythema multiforme and the effectiveness of antiviral suppression therapy in preventing recurrences. Recommendation Early identification of recurrent HSV-associated erythema multiforme is crucial for timely intervention. Long-term suppressive antiviral therapy should be considered in patients with frequent recurrences.
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spelling doaj-art-a448a672954f440d8ce0dd1e65e6a4c42025-08-20T01:49:54ZengStudent's Journal of Health ResearchStudent's Journal of Health Research Africa2709-99972025-03-016317https://doi.org/10.51168/sjhrafrica.v6i3.1570RECURRENT BULLOUS ERYTHEMA MULTIFORME SECONDARY TO HERPES SIMPLEX INFECTION IN AN 18-YEAR-OLD MALE: A CASE STUDY. Abraham Mukalazi 0KATUNGI 1MBChB Dermatology Department, Mbarara University of Science and Technology P.O.BOX 1410 Mbarara, UgandaMBChB Dermatology Department, Mbarara University of Science and Technology P.O.BOX 1410 Mbarara, Uganda Introduction Erythema multiforme (EM) is an acute, immune-mediated mucocutaneous disorder characterized by characteristic targetoid lesions. The bullous subtype is rare and often triggered by infections such as herpes simplex Virus (HSV). Recurrent EM is strongly associated with HSV reactivation. Case Presentation We report an 18-year-old HIV-seronegative male with recurrent bullous erythema multiforme secondary to oral HSV infection. The patient had a two-year history of recurrent blistering episodes occurring every 2-3 months. Laboratory findings confirmed high HSV-1 IgG titers. Histological examination supported the diagnosis of bullous erythema multiforme. The patient was treated successfully with oral acyclovir suppression therapy, leading to a complete resolution of symptoms with no recurrences for six months. Conclusion This case highlights the importance of recognizing HSV as a potential trigger for recurrent bullous erythema multiforme and the effectiveness of antiviral suppression therapy in preventing recurrences. Recommendation Early identification of recurrent HSV-associated erythema multiforme is crucial for timely intervention. Long-term suppressive antiviral therapy should be considered in patients with frequent recurrences.https://sjhresearchafrica.org/index.php/public-html/article/view/1570bullous erythema multiformerecurrent erythema multiformeherpes simplex virusherpes simplex virus-associated erythema multiforme
spellingShingle Abraham Mukalazi
KATUNGI
RECURRENT BULLOUS ERYTHEMA MULTIFORME SECONDARY TO HERPES SIMPLEX INFECTION IN AN 18-YEAR-OLD MALE: A CASE STUDY.
Student's Journal of Health Research Africa
bullous erythema multiforme
recurrent erythema multiforme
herpes simplex virus
herpes simplex virus-associated erythema multiforme
title RECURRENT BULLOUS ERYTHEMA MULTIFORME SECONDARY TO HERPES SIMPLEX INFECTION IN AN 18-YEAR-OLD MALE: A CASE STUDY.
title_full RECURRENT BULLOUS ERYTHEMA MULTIFORME SECONDARY TO HERPES SIMPLEX INFECTION IN AN 18-YEAR-OLD MALE: A CASE STUDY.
title_fullStr RECURRENT BULLOUS ERYTHEMA MULTIFORME SECONDARY TO HERPES SIMPLEX INFECTION IN AN 18-YEAR-OLD MALE: A CASE STUDY.
title_full_unstemmed RECURRENT BULLOUS ERYTHEMA MULTIFORME SECONDARY TO HERPES SIMPLEX INFECTION IN AN 18-YEAR-OLD MALE: A CASE STUDY.
title_short RECURRENT BULLOUS ERYTHEMA MULTIFORME SECONDARY TO HERPES SIMPLEX INFECTION IN AN 18-YEAR-OLD MALE: A CASE STUDY.
title_sort recurrent bullous erythema multiforme secondary to herpes simplex infection in an 18 year old male a case study
topic bullous erythema multiforme
recurrent erythema multiforme
herpes simplex virus
herpes simplex virus-associated erythema multiforme
url https://sjhresearchafrica.org/index.php/public-html/article/view/1570
work_keys_str_mv AT abrahammukalazi recurrentbullouserythemamultiformesecondarytoherpessimplexinfectioninan18yearoldmaleacasestudy
AT katungi recurrentbullouserythemamultiformesecondarytoherpessimplexinfectioninan18yearoldmaleacasestudy