STEVENS-JOHNSON SYNDROME (SJS)—CASE REPORT

• Published in: Oral surgery, oral medicine, oral pathology and oral radiology Vol. 130; no. 3; p. e230
• Main Authors: PONDÉ, ANA CAROLINA VELASCO, SARMENTO, VIVIANE ALMEIDA, FALCÃO, GLEICY GABRIELA VITóRIA SPINOLA CARNEIRO, RODRIGUES, NAIARA SANTANA, VIEIRA, VINICIUS DA COSTA, COELHO, MARIANA CARVALHO, RIBEIRO, PATRíCIA MIRANDA LEITE
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01-09-2020
• ISSN: 2212-4403; 2212-4411
• DOI: 10.1016/j.oooo.2020.04.567

Stevens-Johnson syndrome (SJS) presents severe cutaneous lesions affecting the skin and mucous membranes, with the etiology of the hypersensitivity reaction triggered by several drugs, neoplasia, and viral infections. We present the case of a 33-year-old patient who, after use of benzathine penicillin, developed erythematous maculopapular lesions initiated in the pubic region and disseminated throughout the body. In the buccal region, ulcerated, crusty, hemorrhagic, bleeding lesions were observed at the touch of lip region and multiple ulcers in bilateral jugal mucosa, soft palate, lingual dorsum, and oropharynx. Serologic tests and cultures were requested. Prescribed drugs, mouthwashes with chlorhexidine digluconate 0.12%, hygiene of buccal mucosa, laser therapy, and orientation of AGE were used. The patient was diagnosed with SJS due to clinical presentation, symptoms, and medical history. The knowledge of the dental surgeon about SJS is fundamental in face of its severity and decrease in the quality of life of the patient.