Journal of Japanese Society of Oral Oncology
Online ISSN : 1884-4995
Print ISSN : 0915-5988
ISSN-L : 0915-5988
Case Reports
A case of major erythema multiforme during adjuvant chemoradiotherapy for a patient at high-risk against postoperative recurrence of mouth floor cancer
Masao KurosakaChihiro FushimiToshiyuki GotoToru Inomata
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2019 Volume 31 Issue 2 Pages 77-83

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Abstract
Erythema multiforme is a skin disorder caused by immunity and allergic reactions caused by medicines and infectious diseases, and is divided into a relatively mild type (EM minor) without mucosal rash and a type with mucosal rash (EM major). We experienced a case of EM major during adjuvant chemoradiotherapy (CRT) for a patient at high risk of postoperative recurrence of mouth floor cancer. In cases with mucosal and skin symptoms from previous treatment such as CRT and cetuximab combination radiation therapy (bioradiotherapy: BRT), it is more difficult to distinguish between EM major and Stevens-Johnson syndrome (SJS). In patients with CRT and BRT, it is important to consult a dermatologist promptly and treat the patient jointly, if a severe drug eruption accompanied by rapid skin eruption and systemic symptoms and mucosal symptoms is observed.
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© 2019 Japanese Society of Oral Oncology
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