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  • Title: Mucositis, conjunctivitis but no rash - the "Atypical Stevens - Johnson syndrome".
    Author: McGouran DC, Petterson T, McLaren JM, Wolbinski MP.
    Journal: Acute Med; 2011; 10(2):81-2. PubMed ID: 22041607.
    Abstract:
    The Stevens-Johnson syndrome (SJS) classically involves a rash, conjunctivitis and mucositis. We describe the case of a young adult male with isolated mucositis and conjunctivitis . Previous rare reports of severe SJS like syndromes without a rash are confined to children, usually with mycoplasma pnemoniae infection.(1) Terminology for this syndrome includes - "Stevens-Johnson Syndrome without skin lesions", or "Atypical Stevens - Johnson Syndrome".(2) This case highlights the importance of maintaining an open mind when a "full house" of clinical features is absent. It also illustrates the use of a rapid electronic literature review as a clinical tool. The importance of updating records when a drug has been cleared of causing harm is highlighted.
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