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Oxf Med Case Reports . Erythema multiforme major with ocular involvement following COVID-19 infection

tetano

Editor, Senior Moderator
Oxf Med Case Reports


. 2021 Dec 28;2021(11-12):omab120.
doi: 10.1093/omcr/omab120. eCollection Nov-Dec 2021.
Erythema multiforme major with ocular involvement following COVID-19 infection


Carla L Maden[SUP] 1 [/SUP], Laura Ah-Kye[SUP] 2 [/SUP], Yasmin Alfallouji[SUP] 3 [/SUP], Elizabeth Kulakov[SUP] 3 [/SUP], Peter Ellery[SUP] 4 [/SUP], Esther Papamichael[SUP] 2 [/SUP]



Affiliations

Abstract

We report a case of membranous conjunctivitis and erythema multiforme major (EMM) after a coronavirus disease 2019 (COVID-19) diagnosis. A previously well 18-year-old man presented with increasingly erythematous eyes and oral and genital ulceration 2 weeks after confirmation of COVID-19 infection. Clinical examination showed sloughy membranous conjunctivitis with normal visual acuity. He was reviewed by dermatology and diagnosed with EMM secondary to severe acute respiratory syndrome coronavirus 2 infection. The symptoms resolved with oral and topical steroids, lubricants and chloramphenicol eye drops. Erythema multiforme has been reported in association with COVID-19, although the major form is rare. Ophthalmologists should consider current or previous COVID-19 infection in patients presenting with conjunctivitis or pseudomembrane formation. Prompt initiation of steroids aids resolution.
 
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